Individual
CRISTINA COUPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 RUTHERFORD LN, AUSTIN, TX 78754-5104
(512) 745-7079
Mailing address
4504 ARISTOCRAT DR, AUSTIN, TX 78725-1302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68493
TX
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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