Crockett Counseling Center , Llc

NPI 1144631573 - Counselor - 101YM0800X

NPI Details
NPI 1144631573
Enumeration Date 05/20/2014
Last Updated 05/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KARISA CORLEY KARISA
Position PRESIDENT
Phone (936) 544-9484
Fax (936) 544-9749
Practice Location
1320 E HOUSTON AVE
CROCKETT TX, 75835-1761, US
Phone (936) 544-9484
Fax (936) 544-9749
Business Location
1025 E HOUSTON AVE
CROCKETT TX, 75835-2240, US
Phone (936) 546-7887
Fax (936) 544-9749
Toxanomy
Taxonomy Code 101YM0800X
License State Texas
License Number 19494
Remove 1144631573 NPI Number
 

According to our database, Crockett Counseling Center , Llc NPI is 1144631573, taxonomy code is 101YM0800X and license number is 19494, license state is located at Texas. Crockett Counseling Center , Llc physically located at 1320 E Houston Ave, Crockett TX, 75835-1761. NPI Number 1033115704 has the healthcare provider type.

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1144631573 NPI number is provided on an as is basis without warranty of any kind. 1144631573 is maintained by the National Plan & Provider Enumeration System. The contents of Crockett Counseling Center , Llc are for informational purposes only.