ANDREW CHRISTOPHER SHANKS

AUSTIN, TX
NPI1700378999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  14662)
Enumeration Date2018-06-04
Last Update Date2019-08-05
Business Address
ANDREW CHRISTOPHER SHANKS LCDC
2132 ANTONE ST
AUSTIN, TX 78723
Phone number: 512-650-0874
Mailing Address
ANDREW CHRISTOPHER SHANKS LCDC
2132 ANTONE ST
AUSTIN, TX 78723-5460
Phone number: 512-650-0874