Individual
AYANNA TAMASHA SIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 WOODLAND PARK DR, HOUSTON, TX 77077-6161
(832) 671-3362
Mailing address
2601 WOODLAND PARK DR APT 1204, HOUSTON, TX 77077-6163
(832) 671-3362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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