Provider Demographics
NPI:1043859028
Name:ALAMAN, LPC-INTERN, PATRICIA JOHNSON
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JOHNSON
Last Name:ALAMAN, LPC-INTERN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41363
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-0363
Mailing Address - Country:US
Mailing Address - Phone:469-670-0205
Mailing Address - Fax:214-375-6387
Practice Address - Street 1:1106 SANTA FE TRL STE 2
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-3063
Practice Address - Country:US
Practice Address - Phone:469-670-0205
Practice Address - Fax:214-375-6387
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional