South Austin Counseling | |
1715 W. Fm 1626 Suite 102 Manchaca TX 78652-3549 | |
(512) 280-5315 | |
(512) 280-5316 |
Full Name | South Austin Counseling |
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Speciality | Counselor - Professional |
Location | 1715 W. Fm 1626, Manchaca, Texas |
Authorized Official Name and Position | Tammie Dlouhy Martin (OWNER/LPC-S) |
Authorized Official Contact | 5122805315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Austin Counseling 1715 W. Fm 1626 Suite 102 Manchaca TX 78652-3549 Ph: (512) 280-5315 | South Austin Counseling 1715 W. Fm 1626 Suite 102 Manchaca TX 78652-3549 Ph: (512) 280-5315 |
NPI Number | 1487952065 |
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Provider Enumeration Date | 03/07/2011 |
Last Update Date | 10/15/2016 |
Identifier | Type | State | Issuer |
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1487952065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 13297 (Texas) | Primary |
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