Individual
STEPHANIE PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
5617 RR 2222 # A, AUSTIN, TX 78731-6523
(512) 680-0733
Mailing address
PO BOX 28062, AUSTIN, TX 78755-8062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
87683
TX
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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