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Individual

DR. JUDE THADDEUS AUSTIN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC, LMFT-ASSOC

Contact information

Practice address
2027 S 61ST ST STE 121, TEMPLE, TX 76504-6817
(254) 258-4571
Mailing address
405 WEEPING WILLOW DR, TEMPLE, TX 76502-5301
(337) 347-0410

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701008193
VA
106H00000X
Marriage & Family Therapist
Primary
203451
TX

Other

Enumeration date
05/04/2019
Last updated
05/04/2019
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