Most Relevant Information
Provider Data
| NPI Number: | 1003323437 |
| Provider Name: | TARA SHANETT MUKORO PHD, LPC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 74850 |
Most Important Dates
| Enumeration Date: | 01/08/2018 |
| Last Updated: | 06/11/2024 |
Provider Practice Location
5802 SAWMILL BEND LN
SUGAR LAND
TX
774791261
Practice Location Phone/Fax
| Phone: | 7138847235 |
| Fax: | 2812392838 |
Provider Mailing Location
5802 SAWMILL BEND LN
SUGAR LAND
TX
774791261
Provider Mailing Phone/Fax
| Phone: | 7138847235 |
| Fax: | 2812392838 |