Individual
CRISSY CATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 COCOPA DR, LAKE KIOWA, TX 76240-9281
(214) 662-4812
Mailing address
105 COCOPA DR, LAKE KIOWA, TX 76240-9281
(214) 662-4812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92031
TX
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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