Individual
ISABEL NATASHA TANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, RAS
Contact information
Practice address
5050 QUORUM DR, DALLAS, TX 75254-7564
(469) 757-5215
Mailing address
5050 QUORUM DR, DALLAS, TX 75254-7564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79744
TX
Other
Enumeration date
01/20/2021
Last updated
01/27/2021
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