Individual
BRIANNA LEIGH OTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
4538 SUMMERHILL RD, TEXARKANA, TX 75503-2740
(903) 306-1134
Mailing address
4538 SUMMERHILL RD, TEXARKANA, TX 75503-2740
(903) 306-1134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
83534
TX
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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