Individual
MARISSA LECAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 LYDIA ST, AUSTIN, TX 78702-2623
(512) 829-8738
Mailing address
10600 SENTINEL DR, AUSTIN, TX 78747-2813
(737) 733-0148
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204909
TX
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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