Individual
MR. JIOVANN A CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
9501 N CAPITAL OF TEXAS HWY, SUITE 103, AUSTIN, TX 78759-6606
(512) 578-8070
(512) 578-8070
Mailing address
9501 N CAPITAL OF TEXAS HWY, SUITE 103, AUSTIN, TX 78759-6606
(512) 578-8070
(512) 578-8070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
161690601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161690601
—
TX
Enumeration date
05/07/2007
Last updated
03/11/2014
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