| Collaborative Counselor | |
|
5017 Heritage Ave Ste 111 Colleyville TX 76034-5995 | |
| (817) 494-4194 | |
| Not Available |
| Full Name | Collaborative Counselor |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5017 Heritage Ave Ste 111, Colleyville, Texas |
| Authorized Official Name and Position | Kelly Patrice Crossing (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8174944194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counselor 5017 Heritage Ave Ste 111 Colleyville TX 76034-5995 Ph: (817) 494-4194 | Collaborative Counselor 5017 Heritage Ave Ste 111 Colleyville TX 76034-5995 Ph: (817) 494-4194 |
| NPI Number | 1366942682 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366942682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64501 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 75355 (Texas) | Secondary |
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