| Crt Counseling, Pa, Change Renewal Transition | |
|
9304 Forest Ln Suite 100-south Dallas TX 75243-6238 | |
| (214) 340-0208 | |
| (214) 340-7092 |
| Full Name | Crt Counseling, Pa, Change Renewal Transition |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9304 Forest Ln, Dallas, Texas |
| Authorized Official Name and Position | Kelly Aline Coutee (OWNER) |
| Authorized Official Contact | 2143400208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crt Counseling, Pa, Change Renewal Transition 9304 Forest Ln Suite 100-south Dallas TX 75243-6238 Ph: (214) 340-0208 | Crt Counseling, Pa, Change Renewal Transition 9304 Forest Ln Suite 100-south Dallas TX 75243-6238 Ph: (214) 340-0208 |
| NPI Number | 1477608750 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477608750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10496 (Texas) | Primary |
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