Organization
FRESH START EAST TEXAS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN ANN JOHNSON (OWNER)
(319) 510-2188
Entity
Organization
Contact information
Practice address
202 S. ALAMO BLVD. SUITE A, MARSHALL, TX 75670
(903) 930-1008
(903) 930-1008
Mailing address
1203 B E. GRAND AVE. #313, MARSHALL, TX 75670
(903) 930-1008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
12/04/2020
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