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Tamatha Blodgett, LPC
Professional Counselor in Richardson, Texas
NPI 1427423540

Tamatha Blodgett is a Professional Counselor based in Richardson, TX and is specialized in Professional. Tamatha Blodgett practices in Richardson, TX and has the professional credentials of LPC. The NPI Number for Tamatha Blodgett is 1427423540 and holds a License No. 72072 (Texas).

The current practice location address for Tamatha Blodgett is 2150 Lakeside Blvd Ste 100, Richardson, TX and can be reached out via phone at 972-437-4698.

Location: 2150 Lakeside Blvd Ste 100, Richardson, TX, 75082-4302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427423540
Provider Name
Tamatha Blodgett
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2150 Lakeside Blvd Ste 100, Richardson, TX, 75082-4302
Phone Number
972-437-4698
Fax Number
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2150 Lakeside Blvd Ste 100
City
Richardson
State
Texas
Zip
75082-4302
Phone Number
972-437-4698
Fax Number
person
Provider Business Mailing Address Details
Address
2150 Lakeside Blvd Ste 100
City
Richardson
State
Texas
Zip
75082-4302
Phone Number
972-437-4698
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
72072 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
72072 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
72072 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
72072 (Texas)
Definition
Definition to come...
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