Individual
TENNEH MAXINE HOLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
921 CRAWFORD ST APT 4209, FORT WORTH, TX 76104-3483
(682) 346-2049
Mailing address
921 CRAWFORD ST APT 4209, FORT WORTH, TX 76104-3483
(682) 346-2049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14309
LCDC
TX
Enumeration date
09/05/2018
Last updated
11/03/2023
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