Individual
ELIZABETH LEE ANN MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC
Contact information
Practice address
3007 LONGHORN BLVD, AUSTIN, TX 78758-7636
(512) 566-4233
Mailing address
PO BOX 530026, HARLINGEN, TX 78553-0026
(956) 659-3553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17118
TX
1041C0700X
Clinical Social Worker
Primary
67460
TX
Other
Enumeration date
11/16/2022
Last updated
09/30/2024
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