| Professional Christian Counseling Inc | |
|
814 W B St Russellville AR 72801-3610 | |
| (479) 858-7111 | |
| Not Available |
| Full Name | Professional Christian Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 814 W B St, Russellville, Arkansas |
| Authorized Official Name and Position | Harold Wayne Taylor (SECRETARY) |
| Authorized Official Contact | 4798587111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Christian Counseling Inc 814 W B St Russellville AR 72801-3610 Ph: (479) 858-7111 | Professional Christian Counseling Inc 814 W B St Russellville AR 72801-3610 Ph: (479) 858-7111 |
| NPI Number | 1922405570 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922405570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0601001 (Arkansas) | Secondary |
| 106H00000X | Marriage & Family Therapist | M0601001 (Arkansas) | Primary |
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