J and M Etccc

NPI #1588898787 in Georgetown, Texas

Provider Information

NPI Number
1588898787
Entity Type
Organization
Organization Name
J and M Etccc
Primary Specialty
Psychologist - Counseling
Enumeration Date
May 4, 2009
Last Updated
May 4, 2009

Practice Location

Address
105 E JANIS DR
State
Texas
ZIP Code
78628-3615
Phone
(512) 591-7130

Authorized Official

Name
MR. MICHAEL DAVE HALLIGAN, L.P.C.
Title
CO/OWNER
Phone
(512) 591-7130

Specialties & Taxonomy Codes

Specialty
Psychologist - CounselingCounseling

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