Individual
ALLYSON LEVON STUCKLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMFT, LPC
Contact information
Practice address
1835 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-7068
(817) 769-7687
Mailing address
9117 SAGEWOOD DR APT 3108, FORT WORTH, TX 76177-2298
(817) 015-4622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83762
TX
Other
Enumeration date
05/21/2020
Last updated
08/22/2024
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