Individual
ALAN GEORGE WAISANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LMFT
Contact information
Practice address
3625 MANCHACA RD, SUITE 303, AUSTIN, TX 78704-6631
(512) 413-4497
Mailing address
4010 SENDERO DR, AUSTIN, TX 78735-6316
(512) 413-4497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
69304
TX
106H00000X
Marriage & Family Therapist
202091
TX
Other
Enumeration date
10/28/2015
Last updated
08/29/2016
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