Individual
ANNIKA NICOLE DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BALCONES DR # 2700, AUSTIN, TX 78731-4257
(210) 699-7080
Mailing address
5900 BALCONES DR # 27004, AUSTIN, TX 78731-4257
(210) 699-7080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
66293
TX
101YM0800X
Mental Health Counselor
96270
TX
101YP2500X
Professional Counselor
Primary
96270
TX
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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