Individual
BRYANNA ROSE WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
4189 TEXAS 6 FRONTAGE RD, COLLEGE STATION, TX 77845
(413) 212-6618
Mailing address
813 YEGUA ST APT 1, BRYAN, TX 77801-2847
(413) 212-6618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91987
TX
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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