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Organization
ON-SITE CRISIS INTERVENTION LLC
Active
Organization
ON-SITE CRISIS INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE HARDWICK BRYAN PH.D. (OWNER/CLINICAL COUNSELOR)
(915) 525-2796
Entity
Organization
Contact information
Practice address
851 GOMEZ RD, EL PASO, TX 79932-4205
(915) 525-2796
(915) 581-6708
Mailing address
851 GOMEZ RD, EL PASO, TX 79932-4205
(915) 525-2796
(915) 581-6708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7697
TX
101YP2500X
Professional Counselor
Primary
62311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13623745
—
NM
Enumeration date
06/25/2012
Last updated
10/16/2014
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