Individual
CHRISTINE SHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2001 S MO PAC EXPY APT 1926, AUSTIN, TX 78746-7593
(512) 587-3863
Mailing address
2001 S MO PAC EXPY APT 1926, AUSTIN, TX 78746-7593
(512) 587-3863
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77777777777777777777
BCBS
TX
Enumeration date
12/12/2017
Last updated
01/30/2021
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