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Ms. Kathy A Stan, MA,LPC,NCC
Professional Counselor in Georgetown, Texas
NPI 1639635691

Kathy A Stan is a Professional Counselor based in Georgetown, TX and is specialized in Professional. Kathy A Stan practices in Georgetown, TX and has the professional credentials of MA,LPC,NCC. The NPI Number for Kathy A Stan is 1639635691 and holds a License No. 77521 (Texas).

The current practice location address for Kathy A Stan is 3003 Dawn Dr Ste 108, Georgetown, TX and can be reached out via phone at 512-426-9488.

Location: 3003 Dawn Dr Ste 108, Georgetown, TX, 78628-2800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639635691
Provider Name
Kathy A Stan
Credential
MA,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
3003 Dawn Dr Ste 108, Georgetown, TX, 78628-2800
Phone Number
512-426-9488
Fax Number
Provider Enumeration Date
02/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77521 01 TX LPC LICENSE
institution
Provider Business Practice Location Address Details
Address
3003 Dawn Dr Ste 108
City
Georgetown
State
Texas
Zip
78628-2800
Phone Number
512-426-9488
Fax Number
person
Provider Business Mailing Address Details
Address
3003 Dawn Dr Ste 108
City
Georgetown
State
Texas
Zip
78628-2800
Phone Number
512-426-9488
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
77521 (Texas)
Definition
Definition to come...
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