Organization
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Active
Other names
ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLYN LANG (EXECUTIVE DIRECTOR)
(903) 586-5507
Entity
Organization
Contact information
Practice address
5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 586-9200
Mailing address
913 N JACKSON ST, JACKSONVILLE, TX 75766-3801
(903) 586-5507
(903) 586-4234
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T09Z
BLUE CROSS &BLUE SHIEILD
TX
Enumeration date
06/09/2005
Last updated
07/21/2022
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