Provider Demographics
NPI:1477208833
Name:KUQI, BRITTANY BRISWALTER (MS, LPC-ASSOCIATE,)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:BRISWALTER
Last Name:KUQI
Suffix:
Gender:F
Credentials:MS, LPC-ASSOCIATE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 STACY ROAD APT 6104
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:501-605-2798
Mailing Address - Fax:
Practice Address - Street 1:5431 MONTGOMERY ROAD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065
Practice Address - Country:US
Practice Address - Phone:972-775-8966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87345101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor