Kelly Manuel Bastrop Counseling, Pllc

NPI #1033870662 in Bastrop, Texas

Provider Information

NPI Number
1033870662
Entity Type
Organization
Organization Name
Kelly Manuel Bastrop Counseling, Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 5, 2022
Last Updated
Jan 8, 2022

Practice Location

Address
111 N HASLER BLVD STE 219
State
Texas
ZIP Code
78602-3984
Phone
(512) 985-7104

Authorized Official

Name
MS. KELLY A MANUEL, LCSW, LCDC
Title
GOVERNING AUTHORITY
Phone
(512) 985-7104

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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