Individual
MR. CHRISTINA MARIA SUSTAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5901 MOUNTAIN VILLA DR, AUSTIN, TX 78731-3754
(512) 825-5337
Mailing address
5901 MOUNTAIN VILLA DR, AUSTIN, TX 78731-3754
(512) 825-5337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
59801
TX
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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