Individual
ALISON E POURTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
3608 E 29TH ST, STE 206, BRYAN, TX 77802-3849
(979) 217-1315
Mailing address
PO BOX 11004, COLLEGE STATION, TX 77842-1004
(979) 217-1315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61257
TX
Other
Enumeration date
05/21/2008
Last updated
01/28/2015
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