Doctor Name: | JETTE STARR SKOTTEGARD |
NPI Number: | 1629317904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | C. 1000485 |
Business Practice Address: | 2222 Western Trails Blvd Ste 205 Austin, TX - 787451682 |
Business Phone Number: | 5132952776 |
Business Fax Number: | |
Mailing Address: | 8700 Brodie Ln, Apt. 1827 AUSTIN |
State: | TX |
Postal Code: | 787457900 |
Phone Number: | 5132952776 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C. 1000485 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |