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Individual

MS. ALLISON BLYTHE BURWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
1228 N HWY 123, SAN MARCOS, TX 78666-7730
(512) 796-0060
(512) 796-0060
Mailing address
530 LINDSEY ST, SAN MARCOS, TX 78666-4435
(512) 796-0060

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67752
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9724LL
BCBS
TX
Enumeration date
05/12/2011
Last updated
07/17/2020
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