| Bristlecone Counseling Services, Pllc | |
|
5900 Balcones Dr Ste 7402 Austin TX 78731-4257 | |
| (208) 874-7036 | |
| Not Available |
| Full Name | Bristlecone Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5900 Balcones Dr Ste 7402, Austin, Texas |
| Authorized Official Name and Position | Jordan Elliott (MENTAL HEALTH & ADDICTION COUNSELOR) |
| Authorized Official Contact | 3618615155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristlecone Counseling Services, Pllc 5837 De Zavala Rd. P. O. Box 690102 San Antonio TX 78249 Ph: (361) 861-5155 | Bristlecone Counseling Services, Pllc 5900 Balcones Dr Ste 7402 Austin TX 78731-4257 Ph: (208) 874-7036 |
| NPI Number | 1588373468 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588373468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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