Individual
LETICIA GAMEZ-BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LMSW
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 597-2141
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 597-2141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11179
TX
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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