Individual
AUDRA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 AUSTIN AVE STE 205, WEATHERFORD, TX 76086
(682) 305-3523
Mailing address
106 AUSTIN AVE STE 205, WEATHERFORD, TX 76086-3388
(682) 305-3523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11618
CO
101YP2500X
Professional Counselor
Primary
73215
TX
Other
Enumeration date
09/30/2010
Last updated
08/20/2018
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