Individual
MS. GINA RACHELE BRAZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
566 VETERAN DR, PEARSALL, TX 78061-6623
(210) 366-0033
(210) 579-8636
Mailing address
10231 KOTZEBUE ST, SAN ANTONIO, TX 78217-4430
(210) 366-0033
(210) 579-8636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
05504
TX
Other
Enumeration date
08/22/2006
Last updated
10/05/2016
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