Individual provider · Type 1 NPI
Tinalee Puawehiwa De Costa, LPC
Professional Counselor · Killeen, TX
NPI number
1437747540
Active
Practice location
3816 Clear Creek Rd Ste C301
Killeen, TX 76549-4107
Fax (254) 773-0919
Mailing address
PO Box 1108
Temple, TX 76503-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 77917 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1437747540
Tinalee Puawehiwa De Costa, LPC's National Provider Identifier is 1437747540, issued on Jan 5, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Killeen, TX. The record was last updated on Jan 5, 2021.