Individual
MRS. KELLY DENISE GADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 CHISHOLM TRAIL RD STE 450, ROUND ROCK, TX 78681-5094
(512) 862-7200
(512) 862-7205
Mailing address
1 CHISHOLM TRAIL RD STE 450, ROUND ROCK, TX 78681-5094
(512) 862-7200
(512) 862-7205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195257
—
TX
05
—
4195265
—
TX
Enumeration date
11/14/2018
Last updated
09/26/2024
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