Individual
MISS RETA KATHLEEN ELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1221 W BEN WHITE BLVD, SUITE 108A, AUSTIN, TX 78704-7192
(512) 779-7101
(512) 494-0788
Mailing address
2901 BARTON SKWY APT 3312, AUSTIN, TX 78746-7562
(512) 779-7101
(512) 494-0788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62041
TX
Other
Enumeration date
10/19/2006
Last updated
02/24/2010
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