| Clout Treatment | |
|
111 Ramble Ln Ste 120d Austin TX 78745-2278 | |
| (512) 921-1481 | |
| Not Available |
| Full Name | Clout Treatment |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 111 Ramble Ln Ste 120d, Austin, Texas |
| Authorized Official Name and Position | Deserah Telles (FOUNDER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5129211481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clout Treatment 2601 Cardinal Dr Manchaca TX 78652-4131 Ph: (512) 921-1481 | Clout Treatment 111 Ramble Ln Ste 120d Austin TX 78745-2278 Ph: (512) 921-1481 |
| NPI Number | 1700537958 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700537958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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