Individual
ANNIE C TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
1075 KINWEST PKWY, SUITE 107, IRVING, TX 75063-3426
(972) 910-8388
Mailing address
1075 KINWEST PKWY, SUITE 107, IRVING, TX 75063-3426
(972) 910-8388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69702
TX
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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