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Individual
MONICA TESS COULTER
Active
Individual
MONICA TESS COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322328101
—
TX
Enumeration date
08/13/2013
Last updated
09/06/2016
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