Lisa A Konen, Ma Mft | |
1101 Arrow Point Dr Suite 207 Cedar Park TX 78613-7739 | |
(512) 659-1085 | |
Not Available |
Full Name | Lisa A Konen, Ma Mft |
---|---|
Speciality | Marriage & Family Therapist |
Location | 1101 Arrow Point Dr, Cedar Park, Texas |
Authorized Official Name and Position | Lisa Anne Konen (SOLE MEMBER) |
Authorized Official Contact | 3105970665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lisa A Konen, Ma Mft Po Box 217 Cedar Park TX 78630-0217 Ph: (512) 659-1085 | Lisa A Konen, Ma Mft 1101 Arrow Point Dr Suite 207 Cedar Park TX 78613-7739 Ph: (512) 659-1085 |
NPI Number | 1053571554 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 05/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053571554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 201204 (Texas) | Primary |
106H00000X | Marriage & Family Therapist | MFC42186 (California) | Secondary |
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