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Individual
MRS. DANA PEBBLE BORREMANS
Active
Individual
MRS. DANA PEBBLE BORREMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13508
TX
101YP2500X
Professional Counselor
Primary
13508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028018201
—
TX
01
—
5079LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/21/2006
Last updated
10/24/2013
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