Audra Mathis, LPC
Counselor, Professional in Weatherford, TX. Individual provider (NPI-1).
NPI number1487963989
StatusActive
Last updated in NPPESAug 20, 2018
Details
- NPI
- 1487963989
- Entity type
- Individual (NPI-1)
- Name
- Audra Mathis
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2010
- Last updated
- Aug 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 73215 | TX | Yes |
| 101YP2500X | Counselor, Professional | 11618 | CO |
Practice location
106 Austin Ave Ste 205Weatherford, TX 76086
Phone 682-305-3523
Mailing address
106 Austin Ave Ste 205Weatherford, TX 76086-3388
Phone 682-305-3523
Other practice locations
8745 County Road 9 S
Alamosa, CO 81101-9610
Alamosa, CO 81101-9610
Phone 719-589-3671 · Fax 719-589-9136
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