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Organization
LAKE TRAVIS COUNSELING CONNECTION PLLC
Active
Organization
LAKE TRAVIS COUNSELING CONNECTION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN SHOPE LPC-S (OWNER/CLINICAL DIRECTOR)
(512) 263-4200
Entity
Organization
Contact information
Practice address
311 RANCH ROAD 620 S STE 105, LAKEWAY, TX 78734-4747
(512) 263-4200
(512) 233-2867
Mailing address
311 RANCH ROAD 620 S STE 105, LAKEWAY, TX 78734-4747
(512) 263-4200
(512) 233-2867
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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