Organization · Type 2 NPI
Anderson Cherokee Community Enrichment Services
Intellectual & Developmental Disabilities Psychologist · Jacksonville, TX
NPI number
1154325645
Active
Practice location
5656 N Jackson St
Jacksonville, TX 75766-9641
Fax (903) 586-9200
Mailing address
913 N Jackson St
Jacksonville, TX 75766-3801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
5 other providers at this address
- Anderson Cherokee Community Enrichment ServicesPsychologist Jacksonville, TX NPI 1497759237
- Anderson Cherokee Community Enrichment ServicesMental Health Clinic/Center (Including Community Mental Health Center) Jacksonville, TX NPI 1780001503
- Dennis Ray Phillips, LCSWClinical Social Worker Jacksonville, TX NPI 1639327877
- Jill K. Pontius, MDPsychiatry Physician Jacksonville, TX NPI 1124022918
- Leslie Z. Glover, LPCProfessional Counselor Jacksonville, TX NPI 1770527350
Other intellectual & developmental disabilities psychologist providers in Jacksonville
About NPI 1154325645
Anderson Cherokee Community Enrichment Services's National Provider Identifier is 1154325645, issued on Jun 13, 2005. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Jacksonville, TX. The record was last updated on Jul 21, 2022.