| Brooke Martin Lpc Pllc | |
|
3201 University Dr E Suite 200 Bryan TX 77802-3475 | |
| (979) 229-4203 | |
| (844) 388-6134 |
| Full Name | Brooke Martin Lpc Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3201 University Dr E, Bryan, Texas |
| Authorized Official Name and Position | Brooke Martin (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9795716648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Martin Lpc Pllc 3201 University Dr E Suite 200 Bryan TX 77802-3475 Ph: (979) 229-4203 | Brooke Martin Lpc Pllc 3201 University Dr E Suite 200 Bryan TX 77802-3475 Ph: (979) 229-4203 |
| NPI Number | 1972970531 |
|---|---|
| Provider Enumeration Date | 08/29/2015 |
| Last Update Date | 08/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972970531 | NPI | - | NPPES |
| 1598106221 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 67067 (Texas) | Primary |
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