Organization
WILD BLOSSOMS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANA JONES (CHIEF EXECUTIVE OFFICER)
(325) 668-6241
Entity
Organization
Contact information
Practice address
207 W HICKORY ST, STE 305, DENTON, TX 76201-4156
(940) 400-3381
Mailing address
207 W HICKORY ST, STE 305, DENTON, TX 76201-4156
(940) 400-3381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/20/2023
Last updated
09/26/2023
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