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Bonnie Rose Bury-blattman, LPC
Professional Counselor in Tyler, Texas
NPI 1669937041

Bonnie Rose Bury-blattman is a Professional Counselor based in Tyler, TX and is specialized in Professional. Bonnie Rose Bury-blattman practices in Tyler, TX and has the professional credentials of LPC. The NPI Number for Bonnie Rose Bury-blattman is 1669937041 and holds a License No. 11745 (Texas).

The current practice location address for Bonnie Rose Bury-blattman is 2323 W Front St, Tyler, TX and can be reached out via phone at 903-597-1351 and via fax at 903-535-7384.

Location: 2323 W Front St, Tyler, TX, 75708-5607
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Provider Profile Details
NPI Number
1669937041
Provider Name
Bonnie Rose Bury-blattman
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2323 W Front St, Tyler, TX, 75708-5607
Phone Number
903-597-1351
Fax Number
903-535-7384
Provider Enumeration Date
02/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
396545103 05 TX
institution
Provider Business Practice Location Address Details
Address
2323 W Front St
City
State
Zip
75702-7747
Phone Number
903-597-1351
Fax Number
903-535-7384
person
Provider Business Mailing Address Details
Address
2323 W Front St
City
State
Zip
75702-7747
Phone Number
903-597-1351
Fax Number
903-535-7384
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
80342 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11745 (Texas)
Definition
Definition to come...
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