is a Addiction (substance Use Disorder) in Austin, Texas. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1720245798. The last update date is .
's current location address is 500 E Stassney Ln Apt 437, Austin, Texas. You can contact this provider via phone number 5126593518 and fax number 5122528764. The mailing address for is 500 E Stassney Ln Apt 437, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 500 E Stassney Ln Apt 437, Austin, Texas |
| Phone Number | 5126593518 |
| Fax Number | 5122528764 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720245798 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 500 E Stassney Ln Apt 437 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787453253 |
| Phone Number | 5126593518 |
| Fax Number | 5122528764 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10685 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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