Individual
CRISTINA LUCIA WAIT MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1213 W 49TH ST, AUSTIN, TX 78756-3102
(512) 656-7874
Mailing address
1503 W 44TH ST, AUSTIN, TX 78756-3201
(512) 656-7874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84612
TX
Other
Enumeration date
11/16/2022
Last updated
11/07/2023
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