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Bryan Corley Moffitt, LPC
Professional Counselor in Lubbock, Texas
NPI 1548356181

Bryan Corley Moffitt is a Professional Counselor based in Lubbock, TX and is specialized in Professional. Bryan Corley Moffitt practices in Lubbock, TX and has the professional credentials of LPC. The NPI Number for Bryan Corley Moffitt is 1548356181 and holds a License No. 12735 (Texas).

The current practice location address for Bryan Corley Moffitt is 5701 Avenue P, Lubbock, TX and can be reached out via phone at 806-747-3488 and via fax at 806-747-3219.

Location: 5701 Avenue P, Lubbock, TX, 79412-3674
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Provider Profile Details
NPI Number
1548356181
Provider Name
Bryan Corley Moffitt
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
5701 Avenue P, Lubbock, TX, 79412-3674
Phone Number
806-747-3488
Fax Number
806-747-3219
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022779 01 TX VMC EAP
152320101 05 TX
22100 01 TX FIRSTCARE COMMERCIAL
83479L 01 TX BCBS TEXAS
207800 01 TX COMPSYCH EAP
institution
Provider Business Practice Location Address Details
Address
5701 Avenue P
City
State
Zip
79412-3674
Phone Number
806-747-3488
Fax Number
806-747-3219
person
Provider Business Mailing Address Details
Address
5701 Avenue P
City
State
Zip
79412-3674
Phone Number
806-747-3488
Fax Number
806-747-3219
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12735 (Texas)
Definition
Definition to come...
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