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Shanaz Ikonne, Pllc
Professional Counselor in Lakeway, Texas
NPI 1093230823

Shanaz Ikonne, Pllc is a Professional Counselor based in Austin, TX and is specialized in Professional. Shanaz Ikonne, Pllc practices in Lakeway, TX. The NPI Number for Shanaz Ikonne, Pllc is 1093230823 and holds a License No. 73271 (Texas).

The current practice location address for Shanaz Ikonne, Pllc is 1021 Ranch Road 620 S Ste B, Lakeway, TX and can be reached out via phone at 469-626-9085.

Location: 1021 Ranch Road 620 S Ste B, Lakeway, TX, 78745-6626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093230823
Provider Name
Shanaz Ikonne, Pllc
Credential
Provider Entity Type
Organization
Address
1021 Ranch Road 620 S Ste B, Lakeway, TX, 78745-6626
Phone Number
469-626-9085
Fax Number
Provider Enumeration Date
08/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1021 Ranch Road 620 S Ste B
City
Lakeway
State
Texas
Zip
78734-5611
Phone Number
469-626-9085
Fax Number
person
Provider Business Mailing Address Details
Address
1021 Ranch Road 620 S Ste B
City
Lakeway
State
Texas
Zip
78734-5611
Phone Number
469-626-9085
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
73271 (Texas)
Definition
Definition to come...
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