Individual
AUSTIN BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4807 SPICEWOOD SPRINGS RD BLDG 1, AUSTIN, TX 78759-8444
(512) 843-7665
Mailing address
1600 BARTON SPRINGS RD UNIT 2108, AUSTIN, TX 78704-1182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
73707
TX
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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