Individual
ALLISON BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12234 SHADOW CREEK PKWY STE 106, PEARLAND, TX 77584-7330
(346) 206-3992
Mailing address
2110 ELMEN ST APT 2, HOUSTON, TX 77019-6874
(863) 409-1123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
104189
TX
1041C0700X
Clinical Social Worker
98941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104189
LCSW
TX
01
—
15124758
CAQH
—
Enumeration date
06/22/2016
Last updated
08/02/2021
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