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Organization

LAKE CREEK CHRISTIAN COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JEAN ROGERS BRINGOL LPC (DIRECTOR)
(512) 258-3034
Entity
Organization

Contact information

Practice address
11603 JAMIESON DR, AUSTIN, TX 78750-2543
(512) 258-3034
Mailing address
11603 JAMIESON DR, AUSTIN, TX 78750-2543
(512) 258-3034

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
12836
TX

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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