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NPI Code Detail

MEDICARE: TUKRIA WATLEY LPC

MEDICARE:   TUKRIA  WATLEY  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1194258582
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUKRIA WATLEY LPC
Provider Business Mailing Address
First Line : 5502 1ST ST
Second Line :
City : KATY
State : TX
Zip : 77493-2472
Country : US
Telephone Number : 134-626-5657
Fax Number :
Provider Business Practice Location Address
First Line : 1905 JACQUELYN DR STE 101
Second Line :
City : HOUSTON
State : TX
Zip : 77055-2502
Country : US
Telephone Number : 713-462-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 03/03/2025

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Directions to “ TUKRIA WATLEY LPC” Practice Location

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