| Innovative Centered Counseling Inc. | |
|
1102 Santa Fe Trl Ste 3 Duncanville TX 75137-3062 | |
| (972) 298-2020 | |
| (972) 298-2020 |
| Full Name | Innovative Centered Counseling Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1102 Santa Fe Trl, Duncanville, Texas |
| Authorized Official Name and Position | Moses Chism (DIRECTOR) |
| Authorized Official Contact | 9722982020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Centered Counseling Inc. 1102 Santa Fe Trl Ste 3 Duncanville TX 75137-3062 Ph: (972) 298-2020 | Innovative Centered Counseling Inc. 1102 Santa Fe Trl Ste 3 Duncanville TX 75137-3062 Ph: (972) 298-2020 |
| NPI Number | 1255607271 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255607271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65923 (Texas) | Primary |
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