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Organization
TEXARKANA PROFESSIONAL CHRISTIAN COUNSELING
Active
Organization
TEXARKANA PROFESSIONAL CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND D WHITTEN LPC (PARTNER)
(903) 794-0354
Entity
Organization
Contact information
Practice address
1920 MAGNOLIA ST, TEXARKANA, TX 75501-3912
(903) 794-0354
(903) 794-0354
Mailing address
1920 MAGNOLIA ST, TEXARKANA, TX 75501-3912
(903) 794-0354
(903) 794-0354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070LV
TEXAS BLUE CROSS BLUE SHI
TX
01
—
8P174
ARKANSAS BLUE CROSS BLUE
AR
Enumeration date
04/13/2006
Last updated
08/22/2020
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