Individual provider · Type 1 NPI
Gene Bronson, TX LPC 14451
Professional Counselor · Longview, TX
NPI number
1831266295
Active
Practice location
4715 Tenneryville Rd
Longview, TX 75604-1537
Fax (903) 297-8053
Mailing address
154 Quail Run
Longview, TX 75603-7629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC 14451 (TX) |
Professional Counselor: Definition to come...
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About NPI 1831266295
Gene Bronson, TX LPC 14451's National Provider Identifier is 1831266295, issued on Nov 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Jul 8, 2007.