CHILDREN'S CRISIS PREVENTION NETWORK, INC.
Marriage and Family Therapists at State Highway 19, Athens, TX

License number
Texas LPA- 12381
Category
Social Work
Type
Counselor
License number
Texas LCDC- 1066
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Texas LCDC- 6684
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Texas CCDS- 0831-0991
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Texas LCDC- 11123
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Texas LPC- 20058
Category
Mental Health
Type
Mental Health
License number
Texas LPC-S 13026
Category
Social Work
Type
Professional
License number
Texas LPC- 20058
Category
Social Work
Type
Professional
License number
Texas LPC- 19349
Category
Social Work
Type
Professional
License number
Texas LPC- 9187
Category
Social Work
Type
Professional
License number
Texas LPC- 15979
Category
Social Work
Type
Professional
License number
Texas LSSP-S 6100-S
Category
Social Work
Type
Professional
License number
Texas LPC- 19613
Category
Social Work
Type
Professional
License number
Texas LSSP- 30134
Category
Social Work
Type
School
License number
Texas LMFT- 000088
Category
Marriage and Family Therapists
Type
Marriage & Family Therapist
Owner
Name: RICHARD ELLIOTT WAGNER M.A., L.P.C.
Title: LEAD THERAPIST
Phone: (903) 677-3220
Address
Address
7479 State Highway 19 S, Athens, TX 75751
National Provider ID: 1477833135
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE CHILDREN'S CRISIS PREVENTION NETWORK, INC

PO Box 2464, Athens, TX 75751

Industry:
Drug Education & Deterrence Agency
Registration:
Apr 13, 1987
Phone:
(903) 677-3220 (Phone)
State ID:
0103495201
Business type:
Domestic Nonprofit Corporation
Directors:
Cavin Travis (President , Director),David Finch (Treasurer , Director),Tom Stewart-Gordon (Director),...
Agent:
Barbara A Pettycrew,PO Box 2464, Athens, TX 75751 (Physical)
TIN:
17521862866

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