Individual
RICK TREADWAY-TERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT-SUPERVISOR
Contact information
Practice address
6448 E HIGHWAY 290, BUILDING E, SUITE 113, AUSTIN, TX 78723-1068
(512) 430-0540
Mailing address
PO BOX 991, ELGIN, TX 78621-0991
(512) 430-0540
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201227
TX
106H00000X
Marriage & Family Therapist
MFC40138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982498
—
TX
Enumeration date
07/18/2006
Last updated
07/08/2013
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