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Organization

GEORGETOWN COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA R. JOHNSON (OFFICE MANAGER)
(512) 773-6402
Entity
Organization

Contact information

Practice address
624 S AUSTIN AVE, STE 220, GEORGETOWN, TX 78626-5707
(512) 869-1152
(512) 869-1145
Mailing address
624 S AUSTIN AVE, STE 220, GEORGETOWN, TX 78626-5707
(512) 869-1152
(512) 869-1145

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4265
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0077GD
BLUE CROSS AND BLUE SHIELD
TX
01
455585
VALUE OPTIONS
Enumeration date
07/30/2008
Last updated
07/30/2008
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