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Organization

CONNECTED LIFE COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARLTON ALAN VANCE LPC (COUNSELOR)
(817) 715-9869
Entity
Organization

Contact information

Practice address
2046 BEDFORD RD, BEDFORD, TX 76021-5709
(469) 726-9032
Mailing address
1116 CREST BREEZE DR, HASLET, TX 76052-6149
(817) 715-9869

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265073449
NPPES
TX
01
1891364592
NPPES
TX
Enumeration date
07/30/2024
Last updated
07/31/2024
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