Organization
ASSOCIATED FAMILY THERAPISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PAT CARLSON L.P.C., L.M.F.T. (PARTNER)
(903) 334-7261
Entity
Organization
Contact information
Practice address
3446 SUMMERHILL RD, TEXARKANA, TX 75503-3560
(903) 334-7261
(903) 334-7263
Mailing address
3446B SUMMERHILL ROAD, TEXARKANA, TX 75503
(903) 334-7261
(903) 334-7263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18727
AR
101YP2500X
Professional Counselor
8054
TX
103TC0700X
Clinical Psychologist
Primary
33116
TX
103TC0700X
Clinical Psychologist
86-04P
AR
103TF0200X
Forensic Psychologist
3316
TX
103TF0200X
Forensic Psychologist
86-04P
AR
106H00000X
Marriage & Family Therapist
1831
TX
106H00000X
Marriage & Family Therapist
2644
TX
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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