Provider Demographics
NPI:1942970298
Name:KLABUNDE, BRITTANY VICTORIA (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:VICTORIA
Last Name:KLABUNDE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:VICTORIA
Other - Last Name:KLABUNDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1121 DALLAS DR STE 6
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5100
Mailing Address - Country:US
Mailing Address - Phone:940-483-1789
Mailing Address - Fax:
Practice Address - Street 1:1121 DALLAS DR STE 6
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5100
Practice Address - Country:US
Practice Address - Phone:940-483-1789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX581321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty