Individual
DESIREE NICOLE TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5304 W PLANO PKWY, PLANO, TX 75093-4821
(972) 962-9038
Mailing address
4204 DUBLIN RIDGE DR, CROWLEY, TX 76036-8923
(817) 714-3703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105631
TX
104100000X
Social Worker
105631
TX
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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