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Individual

MS. BRENDA INTERIAN-BOYSSELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1514 N GREENVILLE AVE STE 320, ALLEN, TX 75002-1207
(903) 372-0843
(469) 854-4998
Mailing address
1814 BURL LN, ANNA, TX 75409-4651
(903) 372-0843
(469) 854-4998

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62135
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225221757
HUMANA HEALTHCARE SERVICES, TRICARE
TX
05
187164201
TX
Enumeration date
08/17/2007
Last updated
07/31/2024
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