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Tinalee Puawehiwa De Costa, LPC
Professional Counselor in Killeen, Texas
NPI 1437747540

Tinalee Puawehiwa De Costa is a Professional Counselor based in Temple, TX and is specialized in Professional. Tinalee Puawehiwa De Costa practices in Killeen, TX and has the professional credentials of LPC. The NPI Number for Tinalee Puawehiwa De Costa is 1437747540 and holds a License No. 77917 (Texas).

The current practice location address for Tinalee Puawehiwa De Costa is 3816 Clear Creek Rd Ste C301, Killeen, TX and can be reached out via phone at 254-773-4022 and via fax at 254-773-0919.

Location: 3816 Clear Creek Rd Ste C301, Killeen, TX, 76503-1108
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Provider Profile Details
NPI Number
1437747540
Provider Name
Tinalee Puawehiwa De Costa
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3816 Clear Creek Rd Ste C301, Killeen, TX, 76503-1108
Phone Number
254-773-4022
Fax Number
254-773-0919
Provider Enumeration Date
01/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77917 01 TX STATE OF TEXAS
institution
Provider Business Practice Location Address Details
Address
3816 Clear Creek Rd Ste C301
City
State
Zip
76549-4107
Phone Number
254-773-4022
Fax Number
254-773-0919
person
Provider Business Mailing Address Details
Address
3816 Clear Creek Rd Ste C301
City
State
Zip
76549-4107
Phone Number
254-773-4022
Fax Number
254-773-0919
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
77917 (Texas)
Definition
Definition to come...
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