Individual provider · Type 1 NPI

Elizabeth Dooshima Mabonga, MA, LPC

Professional Counselor · Austin, TX

NPI number 1619487022 Active

Practice location

2501 W William Cannon Dr
Austin, TX 78745-5281

Mailing address

2104 Enfield Rd Apt D
Austin, TX 78703-3222

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X74336 (TX)

Professional Counselor: Definition to come...

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About NPI 1619487022

Elizabeth Dooshima Mabonga, MA, LPC's National Provider Identifier is 1619487022, issued on Oct 11, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Oct 11, 2017.