| NPI | 1366942682 |
|---|---|
| Other Name | COLLABORATIVE COUNSELOR |
| Entity Type | Organization |
| Authorized Contact | KELLY PATRICE CROSSING Licensed Professional Counselor 817-494-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75355) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |