Organization
ADVANCE COUNSELING AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUN BERRY (MANAGING MEMBER)
(318) 436-9717
Entity
Organization
Contact information
Practice address
2303 NORWOOD ST, MARSHALL, TX 75670-0503
(318) 436-9717
Mailing address
604 W NEVADA AVE, VIVIAN, LA 71082-3040
(318) 436-9717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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