| Willow Mark Therapy Pllc | |
|
303 W Pearl St Granbury TX 76048-2451 | |
| (817) 578-6775 | |
| Not Available |
| Full Name | Willow Mark Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 303 W Pearl St, Granbury, Texas |
| Authorized Official Name and Position | Jennifer Caudle (THERAPIST) |
| Authorized Official Contact | 8175786775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Mark Therapy Pllc 900 Dart Ct Granbury TX 76049-1283 Ph: (817) 578-6775 | Willow Mark Therapy Pllc 303 W Pearl St Granbury TX 76048-2451 Ph: (817) 578-6775 |
| NPI Number | 1053900928 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053900928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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