Individual provider · Type 1 NPI

Tarsyia Melissa Waddell, LPC.LCDC.CEAP.SAP.

Professional Counselor · Plano, TX

NPI number 1225189764 Active

Practice location

900 E Park Blvd, Suite 155
Plano, TX 75074-5465

Fax (402) 233-3466

Mailing address

PO Box 411
Allen, TX 75013-0008

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X7317 (TX)
Professional Counselor Primary 101YP2500X16012 (TX)
Professional Counselor 101YP2500X180002879 (IL)

Professional Counselor: Definition to come...

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About NPI 1225189764

Tarsyia Melissa Waddell, LPC.LCDC.CEAP.SAP.'s National Provider Identifier is 1225189764, issued on Jan 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Plano, TX. The record was last updated on Jun 27, 2011.