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NPI Code Detail

MEDICARE: KACI A TINSLEY MA, LPC

MEDICARE: KACI A TINSLEY MA, 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
1101YP2500XProfessional Counselor75980TX

General Provider Information

NPI Number : 1487284568
Entity Type Code : Individual
Provider Name (Legal Business Name) : KACI A TINSLEY MA, LPC
Provider Business Mailing Address
First Line : 5910 N CENTRAL EXPY STE 1820
Second Line :
City : DALLAS
State : TX
Zip : 75206-0946
Country : US
Telephone Number : 469-680-3632
Fax Number : 214-363-1756
Provider Business Practice Location Address
First Line : 5910 N CENTRAL EXPY STE 1820
Second Line :
City : DALLAS
State : TX
Zip : 75206-0946
Country : US
Telephone Number : 469-680-3632
Fax Number : 214-363-1756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2020
Last Update Date : 01/17/2020

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Directions to “ KACI A TINSLEY MA, LPC” Practice Location

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