Individual
MRS. ANTOINETTE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2606 MODANO CT, FRESNO, TX 77545-1435
(936) 676-5116
Mailing address
2606 MODANO CT, FRESNO, TX 77545-1435
(936) 676-5116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
91017
TX
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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