Individual
TAMMY ALTENBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4077 JEFFERSON AVE, TEXARKANA, AR 71854
(870) 330-9200
(870) 330-9439
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1402013
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1402013
AR BOARD OF NURSING
AR
Enumeration date
06/09/2009
Last updated
10/25/2024
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