Individual provider · Type 1 NPI

Gwendolyn Ruth Dussan

Professional Counselor · Manchaca, TX

NPI number 1386435634 Active

Practice location

780 W FM 1626 Unit 463
Manchaca, TX 78652-2519

Call (512) 956-6913 Map

Other practice locations

  • 505 E Huntland Dr Ste 320, Austin, TX 78752-3741 · (512) 201-4501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X90986 (TX)

Professional Counselor: Definition to come...

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About NPI 1386435634

Gwendolyn Ruth Dussan's National Provider Identifier is 1386435634, issued on May 15, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manchaca, TX. The record was last updated on Mar 25, 2026.