Individual provider · Type 1 NPI
Theresa Mae Hodge, M.A., LPC, NCC, LCDC
Professional Counselor · Austin, TX
NPI number
1811277627
Active
Practice location
1106 Clayton Ln, Suite 528-W
Austin, TX 78723-1066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 84209 (TX) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9703 (TX) |
| Professional Counselor Primary | 101YP2500X | 19893 (TX) |
Professional Counselor: Definition to come...
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About NPI 1811277627
Theresa Mae Hodge, M.A., LPC, NCC, LCDC's National Provider Identifier is 1811277627, issued on Aug 24, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Aug 24, 2011.