Individual
ADAM COLLIE ECCLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-ASSOCIATE
Contact information
Practice address
1508 JERSEY DR, AUSTIN, TX 78758-3645
(512) 656-9447
Mailing address
1508 JERSEY DR, AUSTIN, TX 78758-3645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
86466
TX
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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