Organization
WILMETTE PSYCHOTHERAPY ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WILLIAM ANDERSON LMFT (OWNER)
(847) 425-1830
Entity
Organization
Contact information
Practice address
2834 SAN GABRIEL ST, AUSTIN, TX 78705-3531
(847) 425-1830
Mailing address
2834 SAN GABRIEL ST, AUSTIN, TX 78705-3531
(512) 579-0943
(512) 579-0943
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
202694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497153035
TYPE 1 NPI
—
Enumeration date
11/01/2017
Last updated
11/01/2017
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