Brian Bumphus, PRSS
NPI #1790366300 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1790366300
- Entity Type
- Individual
- Name
- Brian Bumphus, PRSS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- PRSS
- Enumeration Date
- Apr 15, 2021
- Last Updated
- Apr 15, 2021
Practice Location
- Address
- 26229 N CRANES MILL RD
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-1957
- Phone
- (930) 935-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Case Manager/Care Coordinator |
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| MR. Brian Bodkin | |
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| MS. Joyce Evet Squires |
Organizations
| Provider Name | |
|---|---|
| Texas Panhandle Mental Health Mental Retardation |
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