Organization
FAMILY AND CHILD GUIDANCE CENTER
Active
Other names
Child and Family Guidance Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KEEHN (CFO)
(214) 351-3490
Entity
Organization
Contact information
Practice address
210 W 10TH ST, DALLAS, TX 75208-4523
(214) 351-3490
(214) 635-2010
Mailing address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(214) 351-3490
(214) 352-0871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TX
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
TX
1041C0700X
Clinical Social Worker
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084682601
—
TX
Enumeration date
12/27/2016
Last updated
12/27/2016
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