Individual
BREANNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1711 E CENTRAL TEXAS EXPY STE 300B, KILLEEN, TX 76541-9120
(254) 458-3252
Mailing address
2008 EXCEL DR, KILLEEN, TX 76542-3997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79611
TX
101YP2500X
Professional Counselor
003143
CT
Other
Enumeration date
05/22/2017
Last updated
02/29/2020
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