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NPI Code Detail

MEDICARE: ELIZABETH ROCHELLE DEVINE M.ED., LPC-S

MEDICARE: ELIZABETH ROCHELLE DEVINE M.ED., LPC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor61456TX

General Provider Information

NPI Number : 1265678395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ROCHELLE DEVINE M.ED., LPC-S
Provider Business Mailing Address
First Line : 821 W 11TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2009
Country : US
Telephone Number : 512-765-2668
Fax Number :
Provider Business Practice Location Address
First Line : 821 W 11TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2009
Country : US
Telephone Number : 512-765-2668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2008
Last Update Date : 09/20/2024

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Directions to “ ELIZABETH ROCHELLE DEVINE M.ED., LPC-S” Practice Location

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