MR. GENE BRONSON TX LPC 14451
NPI 1831266295
Counselor - Professional in Longview, TX
Active since November 29, 2006
About Mr. Gene Bronson Tx Lpc 14451 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GENE BRONSON TX LPC 14451 (NPI 1831266295) is an individual professional provider in Longview, Texas, licensed in Texas (LPC 14451) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1831266295
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. GENE BRONSONCredential: TX LPC 14451
Location Address4715 TENNERYVILLE RDLongview, TX 75604-1537
Mailing Address154 Quail RunLongview, TX 75603-7629 · (903) 918-3626 · Fax (903) 297-8053
Phone(903) 297-2138
Fax(903) 297-8053
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831266295 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · LPC 14451
4715 TENNERYVILLE RD, Longview, TX 75604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831266295, enumerated as an "individual" on November 29, 2006.
The provider is located at 4715 TENNERYVILLE RD LONGVIEW, TX 75604 and the phone number is (903) 297-2138.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
