Organization
COLLABORATIVE CARE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANSHA GARDNER LPC (OWNER)
(972) 652-0255
Entity
Organization
Contact information
Practice address
4425 W AIRPORT FWY STE 366, IRVING, TX 75062-5831
(972) 652-0255
Mailing address
4425 W AIRPORT FWY STE 366, IRVING, TX 75062-5831
(972) 652-0255
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
70922
TX
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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