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Organization

PROFESSIONAL CHRISTIAN COUNSELING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAROLD WAYNE TAYLOR MS (SECRETARY)
(479) 858-7111
Entity
Organization

Contact information

Practice address
814 W B ST, RUSSELLVILLE, AR 72801-3610
(479) 858-7111
Mailing address
814 W B ST, RUSSELLVILLE, AR 72801-3610
(479) 858-7111

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
P0601001
AR
106H00000X
Marriage & Family Therapist
Primary
M0601001
AR

Other

Enumeration date
11/25/2014
Last updated
11/25/2014
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