Individual
ANDERSON TOWNSEND BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Contact information
Practice address
1203 FORD ST, LLANO, TX 78643-2611
(325) 247-4477
Mailing address
404 W STOREY ST, SAN SABA, TX 76877-5710
(325) 205-2653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14038
TX
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
76642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14038
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
01
—
76642
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
04/02/2019
Last updated
04/02/2019
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