Organization
COUNTRY PATHWAYS PLLC
Active
Other names
Country Pathways PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CHELETTE WILSON LPC (SOLE MEMBER)
(903) 365-2198
Entity
Organization
Contact information
Practice address
108 WAIN DR STE B, LONGVIEW, TX 75604-1231
(903) 850-6334
(903) 236-8510
Mailing address
1804 LIVINGSTON ST, LONGVIEW, TX 75601-3724
(903) 850-6334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028036401
—
TX
Enumeration date
04/04/2008
Last updated
03/31/2020
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