Individual
ELISHA BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT ASSOCIATE
Contact information
Practice address
2525 WALLINGWOOD DR., STE 213, BUILDING 1, AUSTIN, TX 78745
(512) 650-6090
Mailing address
2525 WALLINGWOOD DR STE 213, BUILDING 1, AUSTIN, TX 78746-6900
(512) 650-6090
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202133
TX
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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