| Counseling Innovation Services Llc | |
|
514 E Commerce St Jacksonville TX 75766-4910 | |
| (903) 284-1975 | |
| Not Available |
| Full Name | Counseling Innovation Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 514 E Commerce St, Jacksonville, Texas |
| Authorized Official Name and Position | Charlene Mccauley Mayfield (OWNER) |
| Authorized Official Contact | 9032841975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Innovation Services Llc 514 E Commerce St Jacksonville TX 75766-4910 Ph: (903) 284-1974 | Counseling Innovation Services Llc 514 E Commerce St Jacksonville TX 75766-4910 Ph: (903) 284-1975 |
| NPI Number | 1487904272 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487904272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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