TOM-LUCKIE GWAGEE

Counselor - Mental Health

Active Individual
NPI: 1063059095

Practice Address

2330 TROTTER DR
Katy, TX 77493

Phone: (612) 839-5134

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No -
Contractor 171W00000X No -
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1063059095 is the National Provider Identifier for TOM-LUCKIE GWAGEE, a Counselor - Mental Health provider located in Katy, TX. This NPI was enumerated on December 10, 2019.
TOM-LUCKIE GWAGEE practices at 2330 TROTTER DR, Katy, TX 77493.

Quick Facts

NPI
1063059095
Type
Individual
Enumerated
Dec 10, 2019
Last Updated
Dec 10, 2019

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