Individual
BONNIE STICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
16605 MIXTLI CV, LEANDER, TX 78641-3010
(512) 720-8326
Mailing address
16605 MIXTLI CV, LEANDER, TX 78641-3010
(512) 720-8326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
86302
TX
Other
Enumeration date
04/10/2023
Last updated
11/05/2024
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