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Individual
TANYA D PALACIOS
Active
Individual
TANYA D PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23808
NC
175T00000X
Peer Specialist
2024-12047-01
NC
Other
Enumeration date
07/06/2024
Last updated
12/09/2025
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