Provider Demographics
NPI:1770188492
Name:DODSON, ANNE (LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:DODSON
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 W FM 1626 STE 102
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-3549
Mailing Address - Country:US
Mailing Address - Phone:512-280-5315
Mailing Address - Fax:512-280-5316
Practice Address - Street 1:1715 W FM 1626 STE 102
Practice Address - Street 2:
Practice Address - City:MANCHACA
Practice Address - State:TX
Practice Address - Zip Code:78652-3549
Practice Address - Country:US
Practice Address - Phone:512-280-5315
Practice Address - Fax:512-280-5316
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81815101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health