Organization
STAR COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KRISTINE MCCOY M.S., LPC-INTERN (COUNSELOR)
(817) 501-7098
Entity
Organization
Contact information
Practice address
118 W HEARD ST, CLEBURNE, TX 76033-3836
(817) 645-5517
(817) 645-5715
Mailing address
118 W HEARD ST, CLEBURNE, TX 76033-3836
(817) 645-5517
(817) 645-5715
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
68618
TX
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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