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General NPI Number Information
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NPI Number | 1487571386
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Entity Type | Individual
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Provider Name | BRIAN JOSEPH PEBBLES LPC-A
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Gender | Male
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 5402 HOLLY RD STE 104
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4674
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Country | US
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Telephone | 361-257-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 SANSA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78415-1310
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Country | US
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Telephone | 361-239-6563
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 90925
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License Number State | TX
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