Individual
BRENT THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC-S
Contact information
Practice address
701 E I30, ROCKWALL, TX 75087-5504
(214) 228-7801
Mailing address
701 E I30, ROCKWALL, TX 75087-5504
(469) 698-2250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60596
TX
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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