Individual
MR. PAUL IARUSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 LOOKOUT RD, HUTTO, TX 78634-5402
(512) 693-7254
Mailing address
141 LOOKOUT RD, HUTTO, TX 78634-5402
(512) 693-7254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202691
TEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS
TX
Enumeration date
07/18/2016
Last updated
07/18/2016
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