Individual
ALLISON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1814 8TH AVE, FORT WORTH, TX 76110-1354
(817) 988-3256
Mailing address
11009 CHRISWOOD DR, CROWLEY, TX 76036-5578
(817) 988-3256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13853
TX
101YM0800X
Mental Health Counselor
79839
TX
101YP2500X
Professional Counselor
Primary
79839
TX
Other
Enumeration date
01/31/2019
Last updated
11/01/2022
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