Provider Demographics
NPI:1255019832
Name:STEIN, CARYSA MARIE (LPC INTERN)
Entity type:Individual
Prefix:
First Name:CARYSA
Middle Name:MARIE
Last Name:STEIN
Suffix:
Gender:F
Credentials:LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 BUCK LN
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-6737
Mailing Address - Country:US
Mailing Address - Phone:254-913-4747
Mailing Address - Fax:
Practice Address - Street 1:OLIN E. TEAGUE VETERANS' CENTER DOMICILIARY
Practice Address - Street 2:1901 VETERANS MEMORIAL DRIVE BUILDING 202
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504
Practice Address - Country:US
Practice Address - Phone:254-743-1187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional