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Organization
PSYCHOLOGICAL ARTS
Active
Organization
PSYCHOLOGICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL GORDON (BILLING SPECIALIST)
(512) 343-8307
Entity
Organization
Contact information
Practice address
7801 N LAMAR BLVD, STE. B169, AUSTIN, TX 78752-1016
(512) 343-8307
(512) 524-2230
Mailing address
7801 N LAMAR BLVD, STE. B169, AUSTIN, TX 78752-1016
(512) 343-8307
(512) 524-2230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61629
TX
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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