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Organization
KELLY EVANS JOSLIN
Active
Organization
KELLY EVANS JOSLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY EVANS JOSLIN M.S., L.P.C. (OWNER)
(903) 796-0776
Entity
Organization
Contact information
Practice address
604 W MAIN ST, ATLANTA, TX 75551-2529
(903) 796-0776
(903) 799-9776
Mailing address
PO BOX 943, ATLANTA, TX 75551-0943
(903) 796-0776
(903) 799-9776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125519-0002
CHIPS PROV.#
TX
01
—
2163LC
BLUECROSS/BLUE SHIELD
TX
Enumeration date
11/30/2005
Last updated
08/22/2020
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