Individual
SHANTEL NIKOLE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6709 DENIA DR, AUSTIN, TX 78739-1615
(512) 783-8625
Mailing address
9600 ESCARPMENT BLVD., STE #745, UNIT 178, AUSTIN, TX 78749-1983
(512) 777-1549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75430
TX
Other
Enumeration date
05/14/2021
Last updated
09/11/2021
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