Individual
BRIAN AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
106 N. MLK, CLARKSVILLE, TX 75426
(903) 427-2226
Mailing address
106 N. MLK, CLARKSVILLE, TX 75426
(903) 427-2226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7952
TX
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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