Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 76716 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1063990794 |
---|---|
Provider Name | Monique Coumpy-Foster |
First Address | Ferris, TX 75125-1411 |
Second Address | Dallas, TX 75235-5014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2018 |
Last Update Date | 26/04/2021 |