Individual provider · Type 1 NPI
Millicent Leonard Tanner
Professional Counselor · Tyler, TX
NPI number
1780359315
Active
Practice location
1058 Asher Way Ste 400
Tyler, TX 75703-6076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 62344 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1780359315
Millicent Leonard Tanner's National Provider Identifier is 1780359315, issued on Aug 16, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Aug 16, 2021.