Individual
MR. JACK WORTH KILCREASE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4833 SPICEWOOD SPRINGS RD, SUITE 101, AUSTIN, TX 78759-7253
(512) 658-2674
(512) 346-0082
Mailing address
4833 SPICEWOOD SPRINGS RD, SUITE 101, AUSTIN, TX 78759-7253
(512) 658-2674
(512) 346-0082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
59946
TX
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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