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Shantel Nikole Gonsalves, LPC

Counselor in Austin, TX. Individual provider (NPI-1).

NPI number1164096277
StatusActive
Last updated in NPPESSep 11, 2021

Details

NPI
1164096277
Entity type
Individual (NPI-1)
Name
Shantel Nikole Gonsalves
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2021
Certification date
Sep 11, 2021
Last updated
Sep 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor75430TXYes

Practice location

6709 Denia Dr
Austin, TX 78739-1615

Phone 512-783-8625

Mailing address

9600 Escarpment Blvd.
Ste #745, Unit 178
Austin, TX 78749-1983

Phone 512-777-1549

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