person
Theodore A Carlos, MA,LPC
Professional Counselor in Austin, Texas
NPI 1598840290

Theodore A Carlos is a Professional Counselor based in Austin, TX and is specialized in Professional. Theodore A Carlos practices in Austin, TX and has the professional credentials of MA,LPC. The NPI Number for Theodore A Carlos is 1598840290 and holds a License No. 14312 (Texas).

The current practice location address for Theodore A Carlos is 4131 Spicewood Springs Rd, Austin, TX and can be reached out via phone at 512-789-3382 and via fax at 866-348-5297.

Location: 4131 Spicewood Springs Rd, Austin, TX, 78759-8661
person
Provider Profile Details
NPI Number
1598840290
Provider Name
Theodore A Carlos
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
4131 Spicewood Springs Rd, Austin, TX, 78759-8661
Phone Number
512-789-3382
Fax Number
866-348-5297
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6042LC 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
4131 Spicewood Springs Rd
City
State
Zip
78759-8661
Phone Number
512-789-3382
Fax Number
866-348-5297
person
Provider Business Mailing Address Details
Address
4131 Spicewood Springs Rd
City
State
Zip
78759-8661
Phone Number
512-789-3382
Fax Number
866-348-5297
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14312 (Texas)
Definition
Definition to come...
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