Organization
FRESH START EAST TEXAS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN ANN JOHNSON (OWNER)
(318) 510-2188
Entity
Organization
Contact information
Practice address
202 S ALAMO BLVD STE A, MARSHALL, TX 75670-4259
(903) 930-1008
(903) 930-1008
Mailing address
1203B E GRAND AVE # 313, MARSHALL, TX 75670-3562
(903) 930-1008
(903) 930-1008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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