Individual
MRS. TESSA MEIJER KOEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 STATE FARM RD STE 304, BOONE, NC 28607-4914
(561) 373-0852
Mailing address
220 ARCTIC DRIVE, BANNER ELK, NC 28604-8293
(980) 505-3899
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12497A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12497A
MARRIAGE AND FAMILY THERAPY LICENSURE BOARD
NC
Enumeration date
07/26/2022
Last updated
01/09/2023
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