Individual provider · Type 1 NPI
Nicole Stackpole, LPC, R-DMT
Counselor · Buda, TX
NPI number
1639719974
Active
Practice location
112 Cimarron Park Loop Ste B
Buda, TX 78610-2850
Mailing address
2915 Aftonshire Way Apt 9301
Austin, TX 78748-5883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 79813 (TX) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
Other counselor providers in Buda
About NPI 1639719974
Nicole Stackpole, LPC, R-DMT's National Provider Identifier is 1639719974, issued on Jan 15, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buda, TX. The record was last updated on Jan 15, 2020.