Bianca Simone Reed Adetutu, LMFT
Counselor, Mental Health in Tyler, TX. Individual provider (NPI-1).
NPI number1346924685
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1346924685
- Entity type
- Individual (NPI-1)
- Name
- Bianca Simone Reed Adetutu
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2023
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 202911 | TX | Yes |
Practice location
3629 Mcdonald RdTyler, TX 75701-6224
Phone 430-322-8087
Mailing address
3629 Mcdonald RdTyler, TX 75701-6224
Phone 430-322-8087
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