Individual provider · Type 1 NPI

Teresa Lynne Wyatt, LCDC

Addiction (Substance Use Disorder) Counselor · Dallas, TX

NPI number 1912934217 Active

Practice location

4054 Mckinney Ave Ste 102
Dallas, TX 75204-2050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XILCDC 8755 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912934217

Teresa Lynne Wyatt, LCDC's National Provider Identifier is 1912934217, issued on Jun 26, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.