MEDICARE: ALEX FOLWARSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		TX

General Provider Information

NPI Number	:	1114747615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX FOLWARSKI

Provider Business Mailing Address
First Line	:	1200 KNOLL RIDGE DR
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-6832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4109 TODD LN STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-1097
Country	:	US
Telephone Number	:	512-872-4605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	10/10/2024

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Directions to “ ALEX FOLWARSKI ” Practice Location

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