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Contact Information

ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC
3334 S SW LOOP 323
SUITE 108
TYLER, TX75701-9237
 Phone: 903-581-7973
 Fax: 903-581-6605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ST JOSEPH COUNSELING REHABILITATION SERVICES INC · (Female)

NPI # 1710251012
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2012
Last updated 04/16/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1194941518
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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