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Individual

NANETTE FODELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
12335 HYMEADOW DR STE 300, AUSTIN, TX 78750-1935
(512) 250-9355
(512) 250-0229
Mailing address
4500 E OLTORF ST APT 406, AUSTIN, TX 78741-4651
(214) 620-7357

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14616
TX

Other

Enumeration date
01/02/2019
Last updated
01/02/2019
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