Individual
ELIZABETH ANNE KUBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3400 KERBEY LN, AUSTIN, TX 78703-1455
(512) 636-4493
Mailing address
6202 PEGGY ST, AUSTIN, TX 78723-1933
(512) 636-4493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
71313
TX
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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