Individual
GABRIELLE COOLIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S PLEASANT VALLEY RD APT 136, AUSTIN, TX 78741-1825
(612) 747-1296
Mailing address
1300 S PLEASANT VALLEY RD APT 136, AUSTIN, TX 78741-1825
(612) 747-1296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90288
TX
101YM0800X
Mental Health Counselor
90288
TX
Other
Enumeration date
08/30/2024
Last updated
09/03/2024
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