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Individual

MICHELLE PACEE TUGGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
7535 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4237
(800) 972-0643
(214) 279-5032
Mailing address
4251 FM 2181 STE 230-517, CORINTH, TX 76210-4219
(800) 972-0643
(214) 279-5032

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15895
TX
101YP2500X
Professional Counselor
15895
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15895
STATE LICENSE
TX
Enumeration date
12/30/2021
Last updated
12/30/2021
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