Organization
COLLABORATIVE COUNSELOR ENTERPRISES, PLLC
Active
Other names
Collaborative Counselor
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PATRICE CROSSING LPC (LICENSED PROFESSIONAL COUNSELOR)
(817) 494-4194
Entity
Organization
Contact information
Practice address
5017 HERITAGE AVE STE 111, COLLEYVILLE, TX 76034-5995
(817) 494-4194
Mailing address
5017 HERITAGE AVE STE 111, COLLEYVILLE, TX 76034-5995
(817) 494-4194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64501
TX
101YP2500X
Professional Counselor
75355
TX
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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