Individual
COLETTE CLARE HENRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7708 FOREST WOOD RD, AUSTIN, TX 78745-6224
(512) 470-6727
Mailing address
7708 FOREST WOOD RD, AUSTIN, TX 78745-6224
(512) 470-6727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
83728
TX
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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