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Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Other names
ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA STROM (REIMBURSEMENT COORDINATOR)
(903) 589-9000
Entity
Organization
Contact information
Practice address
1011 COLLEGE AVE, JACKSONVILLE, TX 75766
(903) 589-9000
(903) 586-9200
Mailing address
5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 586-9200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12741
TX
101Y00000X
Counselor
14498
TX
101Y00000X
Counselor
17029
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096107001
—
TX
Enumeration date
02/28/2007
Last updated
07/24/2018
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