C.t. Deep Impact LLC

NPI #1093595845 in Killeen, Texas

Provider Information

NPI Number
1093595845
Entity Type
Organization
Organization Name
C.t. Deep Impact LLC
Primary Specialty
Counselor - Mental Health
Enumeration Date
Sep 29, 2023
Last Updated
Sep 29, 2023

Practice Location

Address
3100 S W S YOUNG DR # 10333
State
Texas
ZIP Code
76542-2001
Phone
(210) 343-5107

Authorized Official

Name
EMMANUEL TAMAREZ, LPC
Title
OWNER
Phone
(210) 343-5107

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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