Individual
COURTNEY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3010 SCOTT BLVD STE 103, TEMPLE, TX 76504-6803
(254) 773-4022
(254) 773-0919
Mailing address
PO BOX 1108, TEMPLE, TX 76503-1108
(254) 773-4022
(254) 773-0919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18725
TX
101YP2500X
Professional Counselor
Primary
18725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163021202
—
TX
Enumeration date
12/12/2006
Last updated
12/10/2024
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