| Kennesaw State University Counseling | |
|
5050 Spring Valley Rd Dallas TX 75244-3995 | |
| (972) 367-4845 | |
| (972) 367-3451 |
| Full Name | Kennesaw State University Counseling |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 5050 Spring Valley Rd, Dallas, Texas |
| Authorized Official Name and Position | Erin Wolfe (PROCUREMENT MANAGER) |
| Authorized Official Contact | 7704204355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennesaw State University Counseling 1000 Chastain Rd Nw Md5300 House 53 Kennesaw GA 30144-5588 Ph: (678) 797-2018 | Kennesaw State University Counseling 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (972) 367-4845 |
| NPI Number | 1134460967 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134460967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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