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Tricia Deanne Booth, MA,LPC
Professional Counselor in Bryan, Texas
NPI 1053569160

Tricia Deanne Booth is a Professional Counselor based in Brenham, TX and is specialized in Professional. Tricia Deanne Booth practices in Bryan, TX and has the professional credentials of MA,LPC. The NPI Number for Tricia Deanne Booth is 1053569160 and holds a License No. 61065 (Texas).

The current practice location address for Tricia Deanne Booth is 2402 Broadmoor, Bryan, TX and can be reached out via phone at 979-229-7184.

Location: 2402 Broadmoor, Bryan, TX, 77833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053569160
Provider Name
Tricia Deanne Booth
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
2402 Broadmoor, Bryan, TX, 77833
Phone Number
979-229-7184
Fax Number
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2402 Broadmoor
City
Bryan
State
Texas
Zip
77802
Phone Number
979-229-7184
Fax Number
person
Provider Business Mailing Address Details
Address
2402 Broadmoor
City
Bryan
State
Texas
Zip
77802
Phone Number
979-229-7184
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
61065 (Texas)
Definition
Definition to come...
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