Organization · Type 2 NPI
Northeast Texas Mental Health Mental Retardation Center
Mental Health Counselor · Texarkana, TX
NPI number
1568403574
Active
Practice location
1 C Oaklawn Center
Texarkana, TX 75501-4159
Fax (903) 831-4823
Mailing address
PO Box 5637
Texarkana, TX 75505-5637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1568403574
Northeast Texas Mental Health Mental Retardation Center's National Provider Identifier is 1568403574, issued on Jun 9, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Texarkana, TX. The record was last updated on Aug 22, 2020.