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Kelly Marie Gilleland, LPC
Professional Counselor in Bastrop, Texas
NPI 1386190858

Kelly Marie Gilleland is a Professional Counselor based in Bastrop, TX and is specialized in Professional. Kelly Marie Gilleland practices in Bastrop, TX and has the professional credentials of LPC. The NPI Number for Kelly Marie Gilleland is 1386190858 and holds a License No. 72661 (Texas).

The current practice location address for Kelly Marie Gilleland is 148 Waipahoehoe Dr, Bastrop, TX and can be reached out via phone at 512-718-1244.

Location: 148 Waipahoehoe Dr, Bastrop, TX, 78602-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386190858
Provider Name
Kelly Marie Gilleland
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
148 Waipahoehoe Dr, Bastrop, TX, 78602-2035
Phone Number
512-718-1244
Fax Number
Provider Enumeration Date
08/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3607764-01 05 TX
3607764-02 05 TX
institution
Provider Business Practice Location Address Details
Address
148 Waipahoehoe Dr
City
Bastrop
State
Texas
Zip
78602-2035
Phone Number
512-718-1244
Fax Number
person
Provider Business Mailing Address Details
Address
148 Waipahoehoe Dr
City
Bastrop
State
Texas
Zip
78602-2035
Phone Number
512-718-1244
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
72661 (Texas)
Definition
Definition to come...
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