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Organization

J AND M ETCCC

Active
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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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