Individual provider · Type 1 NPI
Charles Frederick Clemons Sr., L.P.C.
Professional Counselor · Austin, TX
NPI number
1770612723
Active
Practice location
1907 N Lamar Blvd Ste 354
Austin, TX 78705-4900
Fax (512) 233-6363
Mailing address
10806 East Highway 29
Georgetown, TX 78626-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 17321 (TX) |
Professional Counselor: Definition to come...
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About NPI 1770612723
Charles Frederick Clemons Sr., L.P.C.'s National Provider Identifier is 1770612723, issued on Mar 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.