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Organization
CLOUT TREATMENT
Active
Organization
CLOUT TREATMENT
Active
Other names
Clout Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DESERAH TELLES (FOUNDER/PSYCHOTHERAPIST)
(512) 921-1481
Entity
Organization
Contact information
Practice address
111 RAMBLE LN STE 120D, AUSTIN, TX 78745-2278
(512) 921-1481
Mailing address
2601 CARDINAL DR, MANCHACA, TX 78652-4131
(512) 921-1481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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