Individual
TATIANNA F CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10300 N CENTRAL EXPY STE 280, DALLAS, TX 75231-8666
(325) 704-8776
Mailing address
13101 PRESTON RD STE 110-3216, DALLAS, TX 75240-5237
(325) 704-8776
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203631
LMFT LICENSE NUMBER
TX
Enumeration date
01/11/2022
Last updated
01/11/2022
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