Courtney Tatum, LPC
Counselor, Professional in Houston, TX. Individual provider (NPI-1).
NPI number1124649934
StatusActive
Last updated in NPPESMay 4, 2020
Details
- NPI
- 1124649934
- Entity type
- Individual (NPI-1)
- Name
- Courtney Tatum
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2020
- Certification date
- May 4, 2020
- Last updated
- May 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 79310 | TX | Yes |
Practice location
4801 Woodway DrHouston, TX 77056-1884
Phone 713-459-1908
Mailing address
7411 Stallion Trail DrHumble, TX 77338-6327
Phone 713-459-1908
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