Individual
MR. DUSTIN T WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
307 LIGHTSEY RD, AUSTIN, TX 78704-7149
(512) 627-5055
Mailing address
307 LIGHTSEY RD, AUSTIN, TX 78704-7149
(512) 627-5055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82051
TX
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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