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Organization
THROUGH THE MIRROR THERAPY PLLC
Active
Organization
THROUGH THE MIRROR THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY CARLTON LPC (MEMBER)
(512) 650-5042
Entity
Organization
Contact information
Practice address
618 COMAL AVE BLDG B-1, NEW BRAUNFELS, TX 78130-7600
(512) 650-5042
Mailing address
618 COMAL AVE BLDG B-1, NEW BRAUNFELS, TX 78130-7600
(512) 650-5042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415111010
—
TX
Enumeration date
07/06/2021
Last updated
07/15/2021
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