Individual
BRIANA Y PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
6404 RIDGE OAK RD, AUSTIN, TX 78749-1914
(512) 599-8177
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14963
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
27776
TX
Other
Enumeration date
08/24/2017
Last updated
09/11/2019
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