Individual
MR. BRANT NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1700 WILDCAT DR, SUITE D, PORTLAND, TX 78374-2817
(361) 445-4080
(888) 413-3010
Mailing address
1127 IMPERIAL ST, PORTLAND, TX 78374-4225
(361) 445-4080
(888) 413-3010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68839
TX
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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