| Stephen Tomutsa | |
|
3317 Finley Rd Ste 120c Irving TX 75062-8722 | |
| (510) 375-7802 | |
| Not Available |
| Full Name | Stephen Tomutsa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3317 Finley Rd, Irving, Texas |
| Authorized Official Name and Position | Stephen Tomutsa (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5103757802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Tomutsa 3317 Finley Rd Ste 120c Irving TX 75062-8722 Ph: (510) 375-7802 | Stephen Tomutsa 3317 Finley Rd Ste 120c Irving TX 75062-8722 Ph: (510) 375-7802 |
| NPI Number | 1225412539 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225412539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12608 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 66931 (Texas) | Primary |
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