Individual
SAMAR POORLAKANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4422 PACK SADDLE PASS STE 103, AUSTIN, TX 78745-1644
(512) 423-9240
Mailing address
4422 PACK SADDLE PASS STE 103, AUSTIN, TX 78745-1644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73134
TX
101YM0800X
Mental Health Counselor
73134
TX
101YP2500X
Professional Counselor
73134
TX
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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