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Organization
WYLIE COUNSELING ASSOCIATES, PLLC
Active
Organization
WYLIE COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BRUNER LPC (DIRECTOR)
(469) 757-4525
Entity
Organization
Contact information
Practice address
100 N 1ST ST, WYLIE, TX 75098-4473
(469) 757-4525
(469) 757-4525
Mailing address
714 IRELAND WAY, WYLIE, TX 75098-6011
(469) 757-4525
(469) 757-4525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62714
TX
Other
Enumeration date
09/25/2008
Last updated
04/16/2014
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