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Individual

BINTA YAISA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
115 ESTHER BLVD, # C, NACOGDOCHES, TX 75964-6739
(936) 615-6862
Mailing address
115 ESTHER BLVD, # C, NACOGDOCHES, TX 75964-6739
(936) 615-6862

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62338
TX

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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