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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