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NPI Code Detail

MEDICARE: KELSEY ALLISON LPC-A

MEDICARE: KELSEY ALLISON LPC-A
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 Counselor89120TX

General Provider Information

NPI Number : 1669243754
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY ALLISON LPC-A
Provider Business Mailing Address
First Line : 5665 DALLAS PKWY STE 150
Second Line :
City : FRISCO
State : TX
Zip : 75034-7378
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5665 DALLAS PKWY STE 150
Second Line :
City : FRISCO
State : TX
Zip : 75034-7378
Country : US
Telephone Number : 214-307-2167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2024
Last Update Date : 01/09/2024

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Directions to “ KELSEY ALLISON LPC-A” Practice Location

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