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Samuel Brian Conerly
Professional Counselor in Coppell, Texas
NPI 1477148427

Samuel Brian Conerly is a Professional Counselor based in Dallas, TX and is specialized in Professional. Samuel Brian Conerly practices in Coppell, TX. The NPI Number for Samuel Brian Conerly is 1477148427 and holds a License No. 77228 (Texas).

The current practice location address for Samuel Brian Conerly is 820 S Macarthur Blvd Ste 105-160, Coppell, TX and can be reached out via phone at 469-300-9793.

Location: 820 S Macarthur Blvd Ste 105-160, Coppell, TX, 75208-0154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477148427
Provider Name
Samuel Brian Conerly
Credential
Provider Entity Type
Individual
Gender
Male
Address
820 S Macarthur Blvd Ste 105-160, Coppell, TX, 75208-0154
Phone Number
469-300-9793
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
820 S Macarthur Blvd Ste 105-160
City
Coppell
State
Texas
Zip
75019-4216
Phone Number
469-300-9793
Fax Number
person
Provider Business Mailing Address Details
Address
820 S Macarthur Blvd Ste 105-160
City
Coppell
State
Texas
Zip
75019-4216
Phone Number
469-300-9793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
77228 (Texas)
Definition
Definition to come...
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