Individual
MRS. ALYSSE MARIE FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
230 N PARK BLVD STE 103, GRAPEVINE, TX 76051-6981
(214) 983-6726
Mailing address
409 TIMBER RIDGE PKWY, SEVERANCE, CO 80550-2966
(970) 218-0010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0002220
CO
106H00000X
Marriage & Family Therapist
Primary
203620
TX
Other
Enumeration date
01/30/2022
Last updated
01/13/2023
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