Doctor Name: | MRS. TERRI ANN AUSTIN |
NPI Number: | 1013140839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 180009365 |
Business Practice Address: | 836 Teson Rd Hazelwood, MO - 630423336 |
Business Phone Number: | 3146803319 |
Business Fax Number: | |
Mailing Address: | 836 Teson Rd, HAZELWOOD |
State: | MO |
Postal Code: | 630423336 |
Phone Number: | 3146803319 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2009 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180009365 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |