IAN BIRDWELL

AUSTIN, TX
NPI1306106976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  65478)
Enumeration Date2012-05-16
Last Update Date2012-05-16
Business Address
-- IAN BIRDWELL LPC
1003 JUSTIN LN #2096
AUSTIN, TX 78757-2662
Phone number: 512-585-2304
Mailing Address
-- IAN BIRDWELL LPC
1003 JUSTIN LN #2096
AUSTIN, TX 78757-2662
Phone number: 512-585-2304
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