Individual
GEORGIANA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3617 W PIONEER PKWY, PANTEGO, TX 76013-4504
(682) 206-0569
Mailing address
3617 W PIONEER PKWY, PANTEGO, TX 76013-4504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
74255
TX
Other
Enumeration date
01/21/2019
Last updated
12/26/2024
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