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Individual

TAWANA COVINGTON MCCOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNLP, CHNC, CCBLC

Contact information

Practice address
1530 SUN CITY BLVD, GEORGETOWN, TX 78633-5350
(512) 943-2288
Mailing address
149 FORT MABRY LOOP, GEORGETOWN, TX 78628-7199
(512) 943-2288

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
TX
171400000X
Health & Wellness Coach
TX
174H00000X
Health Educator

Other

Enumeration date
01/16/2024
Last updated
01/02/2025
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