| St Joseph Counseling & Rehabilitation Services, Inc | |
|
3334 S Sw Loop 323 Suite 108 Tyler TX 75701-9237 | |
| (903) 581-7973 | |
| (903) 581-6605 |
| Full Name | St Joseph Counseling & Rehabilitation Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 3334 S Sw Loop 323, Tyler, Texas |
| Authorized Official Name and Position | Ken A Chinweze (ADMINISTRATOR) |
| Authorized Official Contact | 9035817973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Counseling & Rehabilitation Services, Inc 3334 S Sw Loop 323 Suite 108 Tyler TX 75701-9237 Ph: (903) 581-7973 | St Joseph Counseling & Rehabilitation Services, Inc 3334 S Sw Loop 323 Suite 108 Tyler TX 75701-9237 Ph: (903) 581-7973 |
| NPI Number | 1710251012 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 04/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710251012 | NPI | - | NPPES |
| 1194941518 | Medicaid | LA |
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