Individual
BIANCA SIMONE REED ADETUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3629 MCDONALD RD, TYLER, TX 75701-6224
(430) 322-8087
Mailing address
3629 MCDONALD RD, TYLER, TX 75701-6224
(430) 322-8087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202911
TX
Other
Enumeration date
06/14/2023
Last updated
08/30/2024
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