C.t. Deep Impact Llc | |
3100 S W S Young Dr # 10333 Killeen TX 76542-2001 | |
(210) 343-5107 | |
Not Available |
Full Name | C.t. Deep Impact Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 3100 S W S Young Dr # 10333, Killeen, Texas |
Authorized Official Name and Position | Emmanuel Tamarez (OWNER) |
Authorized Official Contact | 2103435107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C.t. Deep Impact Llc 3100 S W S Young Dr # 10333 Killeen TX 76542-2001 Ph: (210) 343-5107 | C.t. Deep Impact Llc 3100 S W S Young Dr # 10333 Killeen TX 76542-2001 Ph: (210) 343-5107 |
NPI Number | 1093595845 |
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Provider Enumeration Date | 09/29/2023 |
Last Update Date | 09/29/2023 |
Certification Date | 09/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093595845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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