Individual
BESSIE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST STE 602, TYLER, TX 75702-5756
(903) 593-9141
Mailing address
8610 PALUXY DR, TYLER, TX 75703-5945
(813) 215-3517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
84393
TX
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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