Provider Demographics
NPI:1518592294
Name:FOND, ALLISON BROWN (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BROWN
Last Name:FOND
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 BIG BEND DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-2525
Mailing Address - Country:US
Mailing Address - Phone:817-808-0798
Mailing Address - Fax:
Practice Address - Street 1:547 BIG BEND DR
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-2525
Practice Address - Country:US
Practice Address - Phone:817-808-0798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional