Organization
COMMUNITY COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNY MCBRIDE LCSW (OWNER)
(903) 675-9595
Entity
Organization
Contact information
Practice address
702 S PALESTINE ST, ATHENS, TX 75751-3325
(903) 675-9595
(903) 677-2110
Mailing address
PO BOX 2536, ATHENS, TX 75751-7536
(903) 675-9595
(903) 677-2110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S14353
TX
Other
Enumeration date
07/06/2010
Last updated
09/27/2011
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