Individual provider · Type 1 NPI
Mary Gillock, MA
Mental Health Counselor · Round Rock, TX
NPI number
1558047415
Active
Practice location
1101 Satellite View Unit 603
Round Rock, TX 78665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 91905 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1558047415
Mary Gillock, MA's National Provider Identifier is 1558047415, issued on Jun 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Round Rock, TX. The record was last updated on Jun 26, 2023.