Individual
MRS. THERESA ANN TANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-3218
(254) 288-3281
Mailing address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-3218
(254) 288-3281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11473
TX
104100000X
Social Worker
8666
TN
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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