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NPI Code Detail

MEDICARE: DAYNER L. BRASHEAR LPC

MEDICARE:   DAYNER L. BRASHEAR  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor80103TX

General Provider Information

NPI Number : 1639753007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYNER L. BRASHEAR LPC
Provider Business Mailing Address
First Line : 7805 GLENSIDE DR
Second Line :
City : ROWLETT
State : TX
Zip : 75089-2884
Country : US
Telephone Number : 214-850-8485
Fax Number :
Provider Business Practice Location Address
First Line : 3803 BOULDER DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-3114
Country : US
Telephone Number : 214-850-8485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 05/11/2021

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Directions to “ DAYNER L. BRASHEAR LPC” Practice Location

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