Individual
AUDRA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4009 BANISTER LN STE 355, AUSTIN, TX 78704-7040
(512) 777-2686
Mailing address
4009 BANISTER LN STE 355, AUSTIN, TX 78704-7040
(512) 777-2686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
97347
TX
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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