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Organization

THE BRIDGE YOUTH AND FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERRIE COOK YOUNG BS (ADMINISTRATOR)
(281) 536-5475
Entity
Organization

Contact information

Practice address
14002 GARDEN BROOK CT, ROSHARON, TX 77583-2066
(281) 536-5475
(281) 972-9328
Mailing address
PO BOX 1494, FRESNO, TX 77545-1494
(281) 536-5475
(281) 972-9328

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
61830
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00112953
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TX
TX
Enumeration date
03/20/2012
Last updated
04/26/2012
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