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Individual

BRIAN KEITH PERMENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2820 SPID DR STE 206, CORPUS CHRISTI, TX 78415-1823
(361) 881-9619
Mailing address
5806 BELLA DI GIORNO DR, CORPUS CHRISTI, TX 78414-4445
(972) 741-2784

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70408
TX

Other

Enumeration date
02/20/2020
Last updated
08/19/2020
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