Individual
CAMILLE DIANNE LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1070 BRUTUS DR, KYLE, TX 78640-4647
(361) 491-0133
Mailing address
1070 BRUTUS DR, KYLE, TX 78640-4647
(361) 491-0133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
95155
TX
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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