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Individual

MR. TY A ALLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, NCC

Contact information

Practice address
3500 OAK LAWN AVE STE 230, DALLAS, TX 75219-4369
(817) 689-5451
Mailing address
8594 HANFORD DR, DALLAS, TX 75243-6412
(817) 689-5451

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70250
TX
101YM0800X
Mental Health Counselor
70250
TX
101YP2500X
Professional Counselor
70250
TX

Other

Enumeration date
04/14/2019
Last updated
04/14/2019
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