Bragg, John Marshall

Bragg, John Marshall is an individual health care provider with primary practice located at 233 Sgt Ed Holcomb Blvd S , Conroe TX 77304-1990. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bragg, John Marshall can be contacted via phone (936) 521-6446.

Contact Information

Primary practice address
233 Sgt Ed Holcomb Blvd S Conroe TX 77304-1990
Phone: (936) 521-6446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15938 Texas

Profile Details

NPI number 1437143344
LBN Legal business name Bragg, John Marshall
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437143344 NPPES
Texas MEDICAID 158253801

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