Organization
J AND M ETCCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVE HALLIGAN L.P.C. (CO/OWNER)
(512) 591-7130
Entity
Organization
Contact information
Practice address
105 E JANIS DR, GEORGETOWN, TX 78628-3615
(512) 591-7130
(512) 591-7130
Mailing address
105 E JANIS DR, GEORGETOWN, TX 78628-3615
(512) 591-7130
(512) 591-7130
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
12569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12569
LICENSED PROFESSIONAL COUNSELOR
TX
Enumeration date
05/04/2009
Last updated
05/04/2009
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