Organization
AMY FURQUERON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FURQUERON LPC (OWNER)
(903) 941-2769
Entity
Organization
Contact information
Practice address
12464 FM 848, TYLER, TX 75707-5638
(903) 941-2769
Mailing address
100 INDEPENDENCE PL STE 212, TYLER, TX 75703-1327
(903) 941-2769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68228
TX
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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