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Organization

BRACKINS & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DORIS GAIL BRACKINS LCSW, SAP (SOLE PROPRIETOR/PSYCHOTHERAPIST)
(281) 272-1115
Entity
Organization

Contact information

Practice address
525 N SAM HOUSTON PKWY E, SUITE 597, HOUSTON, TX 77060-4037
(281) 272-1115
(281) 272-1117
Mailing address
525 N SAM HOUSTON PKWY E, SUITE 597, HOUSTON, TX 77060-4037
(281) 272-1115
(281) 272-1117

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10580
TX
1041C0700X
Clinical Social Worker
Primary
11795
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142403801
TX
Enumeration date
05/23/2007
Last updated
07/28/2009
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