Individual
BETH FAULKNER JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
8311 RED WILLOW DR, AUSTIN, TX 78736-1721
(512) 534-5429
Mailing address
8311 RED WILLOW DR, AUSTIN, TX 78736-1721
(512) 534-5429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16089
TX
101YM0800X
Mental Health Counselor
Primary
16089
TX
101YP2500X
Professional Counselor
16089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148657302
—
TX
Enumeration date
04/30/2008
Last updated
08/08/2011
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