Individual
DESTANY SCHADDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1825 FORTVIEW RD STE 101, AUSTIN, TX 78704-7654
(512) 937-3991
Mailing address
1825 FORTVIEW RD STE 101, AUSTIN, TX 78704-7654
(512) 937-3991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89079
ASSOCIATE
TX
Enumeration date
07/25/2022
Last updated
07/25/2022
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