Organization
COUNSELING AND PSYCHOLOGICAL SERVICES OF EAST TEXAS, PC
Active
Organization
COUNSELING AND PSYCHOLOGICAL SERVICES OF EAST TEXAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONEY L CHARLES JR. PH.D. (PRESIDENT)
(903) 938-4476
Entity
Organization
Contact information
Practice address
301 N WELLINGTON ST, MARSHALL, TX 75670-3335
(903) 938-4476
(903) 938-4125
Mailing address
PO BOX 8317, MARSHALL, TX 75671-8317
(903) 938-4476
(903) 938-4125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146704502
—
TX
Enumeration date
05/26/2007
Last updated
10/30/2013
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