Individual provider · Type 1 NPI
Brennan Charles Blakemore
Mental Health Counselor · Carrollton, TX
NPI number
1679299598
Active
Practice location
2205 Parker Rd.
Carrollton, TX 75010
Mailing address
1429 Whiteoak Dr
Garland, TX 75040-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 66769 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1679299598
Brennan Charles Blakemore's National Provider Identifier is 1679299598, issued on Oct 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carrollton, TX. The record was last updated on Oct 12, 2022.