Individual
ELIZABETH TYLER GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 E ROYAL STREET, BRYAN, TX 77801
(979) 777-1683
Mailing address
3780 COPPERFIELD DR APT 231, BRYAN, TX 77802-5876
(409) 429-6942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84478
TX
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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