Individual
CHRIS LORIN SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC-A
Contact information
Practice address
2525 WALLINGWOOD DR BLDG 12, AUSTIN, TX 78746-6932
(512) 222-8551
Mailing address
2525 WALLINGWOOD DR BLDG 12, AUSTIN, TX 78746-6932
(512) 222-8551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90943
TX
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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