Individual provider · Type 1 NPI
Deserah Telles, LPC, PhD
Professional Counselor · Austin, TX
NPI number
1306484654
Active
Practice location
111 Ramble Ln Ste 120
Austin, TX 78745-2281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 77502 (TX) |
Professional Counselor: Definition to come...
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About NPI 1306484654
Deserah Telles, LPC, PhD's National Provider Identifier is 1306484654, issued on Dec 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jun 27, 2021.