Individual
CAROLINA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCDC
Contact information
Practice address
2021 GUADALUPE ST, AUSTIN, TX 78705-5654
(252) 628-9597
Mailing address
2021 GUADALUPE ST STE 260, AUSTIN, TX 78705-5654
(252) 628-9597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15436
TX
101YP2500X
Professional Counselor
Primary
84867
TX
Other
Enumeration date
03/27/2023
Last updated
04/08/2024
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