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Contact Information

ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
1011 COLLEGE AVE
JACKSONVILLE, TX75766
 Phone: 903-589-9000
 Fax: 903-586-9200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES · (Female)

NPI Number 1265560767
Status Active
Credentials
Entity Individual
Enumeration date 02/28/2007
Last updated 07/24/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 12741
  • TX License # 14498
  • TX License # 17029
  • TX Medicaid 096107001
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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