Individual
MISS IRIS ELIZABETH HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 N. IH 35, 315 PMB 182, ROUND ROCK, TX 78681
(512) 587-7440
(512) 218-4150
Mailing address
110 N I H 35, 315 PMB 182, ROUND ROCK, TX 78681-5003
(512) 587-7440
(512) 218-4150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16566
TX
101YP2500X
Professional Counselor
16566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137954
SUPERIOR
TX
01
—
542851
VALUE OPTIONS
TX
Enumeration date
01/08/2007
Last updated
07/19/2007
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