Organization
COUNSELING SERVICES OF PITTSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN CONLEY MED, LPC (LICENSE PROFESSIONAL COUNSELOR)
(903) 856-6001
Entity
Organization
Contact information
Practice address
200 W MARSHALL ST, PITTSBURG, TX 75686-1348
(903) 856-6001
(903) 856-0465
Mailing address
PO BOX 351, LEESBURG, TX 75451-0351
(903) 856-6001
(903) 856-0465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467300-01
—
TX
Enumeration date
10/25/2006
Last updated
07/25/2008
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