Individual provider · Type 1 NPI

Alicia McCullough Jarry, LCSW

Mental Health Counselor · Austin, TX

NPI number 1861540494 Active

Practice location

603 W 18th St
Austin, TX 78701-1166

Call (512) 482-8828 Map

Fax (512) 482-8828

Mailing address

2828 Pearl St
Austin, TX 78705-3535

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X26415 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1861540494

Alicia McCullough Jarry, LCSW's National Provider Identifier is 1861540494, issued on Jan 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.