Children's Crisis Prevention Network, Inc.

NPI #1477833135 in Athens, Texas

Provider Information

NPI Number
1477833135
Entity Type
Organization
Organization Name
Children's Crisis Prevention Network, Inc.
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 25, 2011
Last Updated
Aug 25, 2011

Practice Location

Address
7479 STATE HIGHWAY 19 S
City
Athens
State
Texas
ZIP Code
75751-8979
Phone
(903) 677-3220

Authorized Official

Name
RICHARD ELLIOTT WAGNER, M.A., L.P.C.
Title
LEAD THERAPIST
Phone
(903) 677-3220

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional
Psychologist - SchoolSchool
Marriage & Family Therapist
Counselor - Mental HealthMental Health

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