Jessica Shull, LPC
Counselor, Professional in Austin, TX. Individual provider (NPI-1).
NPI number1023747656
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1023747656
- Entity type
- Individual (NPI-1)
- Name
- Jessica Shull
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 84192 | TX | Yes |
Practice location
6808 Tulane DrAustin, TX 78723-2846
Phone 512-968-5960
Mailing address
6808 Tulane DrAustin, TX 78723-2846
Phone 512-968-5960
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