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NPI Code Detail

MEDICARE: ANDREW AUSTIN DALLEY LPC

MEDICARE:   ANDREW AUSTIN DALLEY  LPC
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
1101YP2500XProfessional Counselor92674TX

General Provider Information

NPI Number : 1528684974
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW AUSTIN DALLEY LPC
Provider Business Mailing Address
First Line : 3150 AVENUE OF THE STARS APT 2363
Second Line :
City : FRISCO
State : TX
Zip : 75034-7033
Country : US
Telephone Number : 214-901-8056
Fax Number :
Provider Business Practice Location Address
First Line : 5899 PRESTON RD STE 1102
Second Line :
City : FRISCO
State : TX
Zip : 75034-9594
Country : US
Telephone Number : 469-315-6314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2020
Last Update Date : 06/12/2025

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Directions to “ ANDREW AUSTIN DALLEY LPC” Practice Location

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