MEDICARE: KARLEEN ANN ALDRICH LPC

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
1	101YP2500X	Professional Counselor	19444	TX

General Provider Information

NPI Number	:	1457358384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEEN ANN ALDRICH LPC

Provider Business Mailing Address
First Line	:	1500 W WILLIAM CANNON DR
Second Line	:	#209
City	:	AUSTIN
State	:	TX
Zip	:	78745-3182
Country	:	US
Telephone Number	:	512-804-2744
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 MARATHON BLVD
Second Line	:	SUITE305
City	:	AUSTIN
State	:	TX
Zip	:	78756-3436
Country	:	US
Telephone Number	:	512-627-6410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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Directions to “ KARLEEN ANN ALDRICH LPC” Practice Location

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