Organization
SOCALREELS
Active
Other names
Champions Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA S TEDDER (OPERATIONS MANAGER)
(713) 300-1867
Entity
Organization
Contact information
Practice address
16000 STUEBNER AIRLINE RD STE 285, SPRING, TX 77379-7377
(713) 300-1867
(713) 456-2211
Mailing address
16000 STUEBNER AIRLINE RD STE 285, SPRING, TX 77379-7377
(713) 300-1867
(713) 456-2211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384095101
—
TX
Enumeration date
04/05/2018
Last updated
11/16/2018
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