Individual
ANDREW CHRISTOPHER SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2132 ANTONE ST, AUSTIN, TX 78723
(512) 650-0874
Mailing address
2132 ANTONE ST, AUSTIN, TX 78723-5460
(512) 650-0874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14662
TX
Other
Enumeration date
06/04/2018
Last updated
08/05/2019
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