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Individual

KELLY MICHELLE MCCABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT/LPC

Contact information

Practice address
2913 WILLIAMS DR STE 220, GEORGETOWN, TX 78628-2739
(512) 688-5615
Mailing address
2913 WILLIAMS DR STE 220, GEORGETOWN, TX 78628-2739
(512) 688-5615

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
17640
TX
106H00000X
Marriage & Family Therapist
Primary
5074
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84792L
BLUE SHIELD
TX
Enumeration date
04/10/2006
Last updated
07/17/2025
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