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Mrs. Millicent Leonard Tanner
Professional Counselor in Tyler, Texas
NPI 1780359315

Millicent Leonard Tanner is a Professional Counselor based in Tyler, TX and is specialized in Professional. Millicent Leonard Tanner practices in Tyler, TX. The NPI Number for Millicent Leonard Tanner is 1780359315 and holds a License No. 62344 (Texas).

The current practice location address for Millicent Leonard Tanner is 1058 Asher Way Ste 400, Tyler, TX and can be reached out via phone at 903-981-3539.

Location: 1058 Asher Way Ste 400, Tyler, TX, 75703-6076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780359315
Provider Name
Millicent Leonard Tanner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1058 Asher Way Ste 400, Tyler, TX, 75703-6076
Phone Number
903-981-3539
Fax Number
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1058 Asher Way Ste 400
City
Tyler
State
Texas
Zip
75703-6076
Phone Number
903-981-3539
Fax Number
person
Provider Business Mailing Address Details
Address
1058 Asher Way Ste 400
City
Tyler
State
Texas
Zip
75703-6076
Phone Number
903-981-3539
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
62344 (Texas)
Definition
Definition to come...
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