| Fresh Start East Texas Counseling Services | |
|
202 S Alamo Blvd Ste A Marshall TX 75670-4259 | |
| (903) 930-1008 | |
| (903) 930-1008 |
| Full Name | Fresh Start East Texas Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 S Alamo Blvd Ste A, Marshall, Texas |
| Authorized Official Name and Position | Marilyn Ann Johnson (OWNER) |
| Authorized Official Contact | 3185102188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start East Texas Counseling Services 1203b E Grand Ave # 313 Marshall TX 75670-3562 Ph: (903) 930-1008 | Fresh Start East Texas Counseling Services 202 S Alamo Blvd Ste A Marshall TX 75670-4259 Ph: (903) 930-1008 |
| NPI Number | 1801400726 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801400726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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