person
Mrs. Connie Brannon Kitchen, LPC
Professional Counselor in Longview, Texas
NPI 1063516524

Connie Brannon Kitchen is a Professional Counselor based in Hallsville, TX and is specialized in Professional. Connie Brannon Kitchen practices in Longview, TX and has the professional credentials of LPC. The NPI Number for Connie Brannon Kitchen is 1063516524 and holds a License No. 15612 (Texas).

The current practice location address for Connie Brannon Kitchen is 409 N Fredonia St Ste 105, Longview, TX and can be reached out via phone at 903-235-4779 and via fax at 903-753-0197.

Location: 409 N Fredonia St Ste 105, Longview, TX, 75650-4555
person
Provider Profile Details
NPI Number
1063516524
Provider Name
Connie Brannon Kitchen
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
409 N Fredonia St Ste 105, Longview, TX, 75650-4555
Phone Number
903-235-4779
Fax Number
903-753-0197
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4147LC 01 TX BCBS
6307LC 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
409 N Fredonia St Ste 105
City
State
Zip
75601-6466
Phone Number
903-235-4779
Fax Number
903-753-0197
person
Provider Business Mailing Address Details
Address
409 N Fredonia St Ste 105
City
State
Zip
75601-6466
Phone Number
903-235-4779
Fax Number
903-753-0197
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15612 (Texas)
Definition
Definition to come...
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