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1619697737
KEITH CANTRELL
AUSTIN, TX
NPI
1619697737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 89106)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
KEITH CANTRELL LPC-A
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746-6932
Phone number: 512-686-8377
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Mailing Address
KEITH CANTRELL LPC-A
2525 WALLINGWOOD DR BLDG 12
AUSTIN, TX 78746-6932
Phone number: 512-686-8377
Copy
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