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Organization

ALISON KUNEFKE MASHBURN, LPC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISON MASHBURN LPC (LICENSED PROFESSIONAL COUNSELOR)
(903) 791-1051
Entity
Organization

Contact information

Practice address
5221 N PARK RD, TEXARKANA, TX 75503-2664
(903) 791-1051
(903) 791-1054
Mailing address
5221 N PARK RD, TEXARKANA, TX 75503-2664
(903) 791-1051
(903) 791-1054

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60958
TX

Other

Enumeration date
07/24/2007
Last updated
07/24/2007
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