Individual
BREEANCA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7637 TUDANCA TRL, FORT WORTH, TX 76131-5161
(817) 406-2110
Mailing address
900 NORTH BLUE MOUND ROAD, SUITE 144, #181, SAGINAW, TX 76131
(817) 406-2110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
92391
TX
Other
Enumeration date
08/25/2023
Last updated
10/21/2025
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