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104 Pine St Suite 610 Abilene TX 79601-5945 | |
| (325) 669-9760 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 Pine St, Abilene, Texas |
| Authorized Official Name and Position | Kristi Kay Stewart (DIRECTOR) |
| Authorized Official Contact | 9408646126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
104 Pine St Suite 610 Abilene TX 79601-5945 Ph: (325) 669-9760 | 104 Pine St Suite 610 Abilene TX 79601-5945 Ph: (325) 669-9760 |
| NPI Number | 1326116682 |
|---|---|
| Provider Enumeration Date | 12/02/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326116682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 61087 (Texas) | Primary |
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