Individual
MS. AMY CLAIRE PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1613 W 6TH ST, SUITE B, AUSTIN, TX 78703-5075
(512) 494-9977
(512) 301-0909
Mailing address
1613 W 6TH ST, SUITE B, AUSTIN, TX 78703-5075
(512) 494-9977
(512) 301-0909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5369LC
BC / BC PROVIDER NUMBER
TX
Enumeration date
10/19/2006
Last updated
07/09/2007
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