Organization
CARRIE ANN PROCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE ANN PROCTOR LPC, NCC (COUNSELOR)
(512) 736-1665
Entity
Organization
Contact information
Practice address
400 W MAIN ST, SUITE 218, ROUND ROCK, TX 78664-5808
(512) 736-1665
Mailing address
425 GREY FEATHER CT, ROUND ROCK, TX 78665
(512) 736-1665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65566
TX
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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