Individual
BETHANY M SIREVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
2501 W WILLIAM CANNON DR STE 401, AUSTIN, TX 78745-5278
(512) 804-3210
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
87881
TX
Other
Enumeration date
07/22/2014
Last updated
12/16/2024
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