Individual
KADIJAH TEMPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(903) 526-4055
Mailing address
1510 S VINE AVE, TYLER, TX 75701-2826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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