Michele Thibodeau Walty, LCP ASSOCIATE
NPI #1225884885 in Round Rock, Texas
Provider Information
- NPI Number
- 1225884885
- Entity Type
- Individual
- Name
- Michele Thibodeau Walty, LCP ASSOCIATE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LCP ASSOCIATE
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 905 IH 35 FRONTAGE RD
- Address 2
- SUITE 109
- City
- Round Rock
- State
- Texas
- ZIP Code
- 78664
- Phone
- (512) 298-1861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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