Individual
AUDRA HASENMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 W FRONT ST, TYLER, TX 75702-6823
(903) 593-4004
Mailing address
1710 W FRONT ST, TYLER, TX 75702-6823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0024548
CO
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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