| Act Counseling | |
|
1901 E 37th St Ste.106 Odessa TX 79762-6201 | |
| (432) 333-3667 | |
| (432) 580-3115 |
| Full Name | Act Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1901 E 37th St, Odessa, Texas |
| Authorized Official Name and Position | Daniel Paul Dorethy (PRESIDENT) |
| Authorized Official Contact | 4323333667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Act Counseling 1901 E 37th St Ste.106 Odessa TX 79762-6201 Ph: (432) 333-3667 | Act Counseling 1901 E 37th St Ste.106 Odessa TX 79762-6201 Ph: (432) 333-3667 |
| NPI Number | 1003148453 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003148453 | NPI | - | NPPES |
| 184909301 | Medicaid | TX | |
| 027676801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1211 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 57908 (Texas) | Primary |
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