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Organization
EVOLUTION COUNSELING AND WELLNESS SERVICES
Active
Organization
EVOLUTION COUNSELING AND WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTA L WARREN MS, LPC, LCDC (THERAPIST/CLINICAL MENTAL HEALTH)
(254) 291-5058
Entity
Organization
Contact information
Practice address
9901 BRODIE LN STE 160-966, AUSTIN, TX 78748-5803
(512) 995-9995
Mailing address
9901 BRODIE LN STE 160-966, AUSTIN, TX 78748-5803
(254) 291-5058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
07/30/2020
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