Provider Demographics
NPI:1760706808
Name:BRAZLE, DEBRA LINN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LINN
Last Name:BRAZLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ROYAL CRST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6144
Mailing Address - Country:US
Mailing Address - Phone:830-625-2768
Mailing Address - Fax:830-629-2161
Practice Address - Street 1:8 ROYAL CRST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6144
Practice Address - Country:US
Practice Address - Phone:830-625-2768
Practice Address - Fax:830-629-2161
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1053101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional