Individual
MRS. BRANDY KITT HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3840 GILMER RD, LONGVIEW, TX 75604-1173
(903) 746-3477
Mailing address
14010 VINE RD, DIANA, TX 75640-3257
(903) 746-3477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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