Individual
CHRISTINE PETRA VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
4118 WILLIAMS DR, GEORGETOWN, TX 78628-1335
(512) 651-1009
Mailing address
1001 WALSH LN, ROUND ROCK, TX 78681-5756
(512) 762-5208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79468
TX
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/17/2022
Last updated
05/23/2022
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