Individual
MRS. ALI SHIMILIMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12 MEDICAL DR, AMARILLO, TX 79106-4136
(806) 356-0404
(806) 356-0590
Mailing address
12 MEDICAL DR, AMARILLO, TX 79106-4136
(806) 356-0404
(806) 356-0590
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77713
LPC
TX
Enumeration date
11/21/2018
Last updated
11/21/2018
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