Organization
BRAZOS PROFESSIONAL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI BRUNK (OFFICE MANAGER)
(254) 221-0299
Entity
Organization
Contact information
Practice address
1220 N BRAZOS ST STE 4A, WHITNEY, TX 76692-2050
(254) 221-0299
Mailing address
1220 N BRAZOS ST STE 4A, WHITNEY, TX 76692-2050
(254) 221-0299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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