Individual
TERRIE G TINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
10103 FONDREN RD STE 376, HOUSTON, TX 77096-4661
(713) 728-8287
Mailing address
10103 FONDREN RD STE 376, HOUSTON, TX 77096-4661
(713) 728-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14068
TX
171M00000X
Case Manager/Care Coordinator
14068
TX
172V00000X
Community Health Worker
5381
TX
251B00000X
Case Management Agency
14068
TX
251S00000X
Community/Behavioral Health Agency
—
—
405300000X
Prevention Professional
14068
TX
Other
Enumeration date
04/27/2020
Last updated
11/26/2024
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