Individual
BRIANNA DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 66TH ST STE E, LUBBOCK, TX 79414-4875
(806) 712-5225
Mailing address
4601 66TH ST, LUBBOCK, TX 79414-4828
(806) 712-5225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780270173
—
TX
Enumeration date
10/12/2023
Last updated
10/12/2023
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