Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1306176953 |
---|---|
Provider Name | Taneesha Torres-Mcdade |
First Address | Royse City, TX 75189-8572 |
Second Address | Royse City, TX 75189-8572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2010 |
Last Update Date | 01/10/2018 |