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Individual

ADRIENNE MARIE COUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1009 N EARL RUDDER FWY, BRYAN, TX 77802-2959
(979) 492-6856
Mailing address
10742 FOREST DR, COLLEGE STATION, TX 77845-3745
(979) 492-6856

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76152
TX

Other

Enumeration date
04/23/2018
Last updated
04/23/2018
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