Individual
MRS. BRIANNE HAVENS BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT, LPC
Contact information
Practice address
1106 CLAYTON LN, STE. 522W, AUSTIN, TX 78723-1066
(512) 981-5638
Mailing address
1106 CLAYTON LN, STE. 522W, AUSTIN, TX 78723-1066
(512) 981-5638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66304
TX
Other
Enumeration date
10/24/2011
Last updated
07/24/2013
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