Provider Demographics
NPI:1326823527
Name:SHIFRIN, JOSHUA (LPC-A)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:SHIFRIN
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6413 ZADOCK WOODS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2603
Mailing Address - Country:US
Mailing Address - Phone:737-295-9491
Mailing Address - Fax:
Practice Address - Street 1:6413 ZADOCK WOODS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-2603
Practice Address - Country:US
Practice Address - Phone:737-295-9491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92127101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional