Individual
MS. STACI E CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5184 W HIGHWAY 290, STE A, AUSTIN, TX 78735-8913
(512) 953-7734
Mailing address
5184 W HIGHWAY 290, STE A, AUSTIN, TX 78735-8913
(512) 953-7734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73521
TX
Other
Enumeration date
09/15/2010
Last updated
04/03/2017
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