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Organization
STAGE OF LIFE COUNSELING LLC
Active
Organization
STAGE OF LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINJI D WILLINGHAM MA, C. PHIL, LPC (DIRECTOR)
(512) 350-8505
Entity
Organization
Contact information
Practice address
2525 WALLINGWOOD DR, AUSTIN, TX 78746-6900
(512) 350-8505
Mailing address
2525 WALLINGWOOD DR, AUSTIN, TX 78746-6900
(512) 350-8505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
73509
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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