Organization
COUNSELINK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENARO SANDOVAL B.A., LCDC, CART (CEO)
(512) 659-3518
Entity
Organization
Contact information
Practice address
4701 W GATE BLVD, STE. D-404, AUSTIN, TX 78745-1479
(512) 659-3518
(512) 899-8300
Mailing address
4701 W GATE BLVD, STE. D-404, AUSTIN, TX 78745-1479
(512) 659-3518
(512) 899-8300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10685
TX
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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