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Individual

ANTHONY BRISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7460 GOLDEN POND PL STE 100, AMARILLO, TX 79121-1956
(806) 379-8282
Mailing address
7460 GOLDEN POND PL STE 100, AMARILLO, TX 79121-1956
(806) 379-8282

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program
73847
TX

Other

Enumeration date
06/11/2015
Last updated
05/03/2019
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