Individual
DR. KEVIN JOSTAN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 W. DEAN KEATON DRIVE, HEALTH PROMOTION RESOURCE CENTER, SSB 1.106, AUSTIN, TX 78712
(512) 475-8252
(512) 475-8459
Mailing address
PO BOX 7339, HEALTH PROMOTION RESOURCE CENTER, AUSTIN, TX 78713-7339
(512) 475-8252
(512) 475-8459
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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