Provider Demographics
NPI:1215033923
Name:HRUSKA-SUGGS, DIANNE (LPC)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:HRUSKA-SUGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6939 THOMAS SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-2822
Mailing Address - Country:US
Mailing Address - Phone:512-301-1112
Mailing Address - Fax:512-301-1112
Practice Address - Street 1:6939 THOMAS SPRINGS RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-2822
Practice Address - Country:US
Practice Address - Phone:512-301-1112
Practice Address - Fax:512-301-1112
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17083101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor