person
Mr. Brent Parker Tanksley, LCDC
Addiction (Substance Use Disorder) Counselor in Jasper, Texas
NPI 1871004507

Brent Parker Tanksley is an Addiction (Substance Use Disorder) Counselor based in Lufkin, TX and is specialized in Addiction (Substance Use Disorder). Brent Parker Tanksley practices in Jasper, TX and has the professional credentials of LCDC. The NPI Number for Brent Parker Tanksley is 1871004507 and holds a License No. 13677 (Texas).

The current practice location address for Brent Parker Tanksley is 1501C S Wheeler St, Jasper, TX and can be reached out via phone at 409-622-9252.

Location: 1501C S Wheeler St, Jasper, TX, 75901-1450
person
Provider Profile Details
NPI Number
1871004507
Provider Name
Brent Parker Tanksley
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
1501C S Wheeler St, Jasper, TX, 75901-1450
Phone Number
409-622-9252
Fax Number
Provider Enumeration Date
10/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501C S Wheeler St
City
State
Zip
75951-5103
Phone Number
409-622-9252
Fax Number
person
Provider Business Mailing Address Details
Address
1501C S Wheeler St
City
State
Zip
75951-5103
Phone Number
409-622-9252
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13677 (Texas)
Definition
Definition to come...
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