Individual
PETER TAIT COSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, NCC, LCDC
Contact information
Practice address
732 N WINDOMERE AVE, DALLAS, TX 75208-3554
(214) 802-1206
Mailing address
732 N WINDOMERE AVE, DALLAS, TX 75208-3554
(214) 802-1206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11077
TX
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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