| Georgetown Counseling Services | |
|
624 S Austin Ave Ste 220 Georgetown TX 78626-5707 | |
| (512) 869-1152 | |
| (512) 869-1145 |
| Full Name | Georgetown Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 624 S Austin Ave, Georgetown, Texas |
| Authorized Official Name and Position | Sandra R. Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 5127736402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Counseling Services 624 S Austin Ave Ste 220 Georgetown TX 78626-5707 Ph: (512) 869-1152 | Georgetown Counseling Services 624 S Austin Ave Ste 220 Georgetown TX 78626-5707 Ph: (512) 869-1152 |
| NPI Number | 1235395229 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235395229 | NPI | - | NPPES |
| 455585 | Other | VALUE OPTIONS | |
| 0077GD | Other | TX | BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4265 (Texas) | Primary |
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