Provider Demographics
NPI:1326056763
Name:APPERSON, ALAN W (MED LPC)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:W
Last Name:APPERSON
Suffix:
Gender:M
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 DOWLEN RD STE J
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7263
Mailing Address - Country:US
Mailing Address - Phone:410-861-1100
Mailing Address - Fax:409-861-1100
Practice Address - Street 1:3350 DOWLEN RD STE J
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7263
Practice Address - Country:US
Practice Address - Phone:409-861-1100
Practice Address - Fax:409-861-1100
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18671101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163028701Medicaid