Organization
CROCKETT COUNSELING CENTER , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISA CORLEY BURKE LPC (PRESIDENT)
(936) 546-7887
Entity
Organization
Contact information
Practice address
1320 E HOUSTON AVE, CROCKETT, TX 75835-1761
(936) 544-9484
(936) 544-9749
Mailing address
1025 E HOUSTON AVE, CROCKETT, TX 75835-2240
(936) 546-7887
(936) 544-9749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19494
TX
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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