| Texarkana Professional Christian Counseling | |
|
1920 Magnolia St Texarkana TX 75501-3912 | |
| (903) 794-0354 | |
| (903) 794-0354 |
| Full Name | Texarkana Professional Christian Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1920 Magnolia St, Texarkana, Texas |
| Authorized Official Name and Position | Raymond D Whitten (PARTNER) |
| Authorized Official Contact | 9037940354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texarkana Professional Christian Counseling 1920 Magnolia St Texarkana TX 75501-3912 Ph: (903) 794-0354 | Texarkana Professional Christian Counseling 1920 Magnolia St Texarkana TX 75501-3912 Ph: (903) 794-0354 |
| NPI Number | 1992769244 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992769244 | NPI | - | NPPES |
| 0070LV | Other | TX | TEXAS BLUE CROSS BLUE SHI |
| 8P174 | Other | AR | ARKANSAS BLUE CROSS BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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