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General NPI Number Information
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NPI Number | 1215492509
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Entity Type | Individual
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Provider Name | ALLISON ANDERSON LPC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 1814 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76110-1354
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Country | US
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Telephone | 817-988-3256
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Fax |
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Provider Business Mailing Address
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Address Line | 11009 CHRISWOOD DR
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City | CROWLEY
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State | TX
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Zip | 76036-5578
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Country | US
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Telephone | 817-988-3256
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 79839
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13853
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 79839
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License Number State | TX
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