Individual
BRENNAN CHARLES BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 PARKER RD., CARROLLTON, TX 75010
(972) 248-0251
Mailing address
1429 WHITEOAK DR, GARLAND, TX 75040-5336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
66769
TX
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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