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1629485693
BETHANY M SIREVICIUS
AUSTIN, TX
NPI
1629485693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 87881)
Enumeration Date
2014-07-22
Last Update Date
2023-11-21
Business Address
BETHANY M SIREVICIUS LPC, LCDC
305 FERGUSON DR
AUSTIN, TX 78753-3006
Phone number: 512-339-9757
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Mailing Address
BETHANY M SIREVICIUS LPC, LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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