Individual
BRYAN WILMUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1947 K AVE, SUITE A 100, PLANO, TX 75074-5961
(972) 423-6007
Mailing address
1947 K AVE, SUITE A 100, PLANO, TX 75074-5961
(972) 423-6007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8931
TX
Other
Enumeration date
07/05/2011
Last updated
01/12/2012
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