Individual
PAMELA A TANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
810 W U AVENUE, TEMPLE, TX 76508-1136
(254) 724-2585
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
204632
TX
Other
Enumeration date
06/06/2012
Last updated
11/06/2024
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