Individual
ALEX IAN PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LCDC
Contact information
Practice address
5900 BALCONES DR STE 4000, AUSTIN, TX 78731-4257
(512) 759-8799
Mailing address
5900 BALCONES DR STE 4000, AUSTIN, TX 78731-4257
(512) 759-8799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14692
TX
101YP2500X
Professional Counselor
Primary
88724
TX
Other
Enumeration date
04/30/2020
Last updated
06/11/2025
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