Organization
KENNESAW STATE UNIVERSITY
Active
Other names
Kennesaw State University Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN WOLFE (PROCUREMENT MANAGER)
(770) 420-4355
Entity
Organization
Contact information
Practice address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(972) 367-4845
(972) 367-3451
Mailing address
1000 CHASTAIN RD NW, MD5300 HOUSE 53, KENNESAW, GA 30144-5588
(678) 797-2018
(678) 797-2407
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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