Provider Demographics
NPI:1821548363
Name:ALLISON, DEEANNA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DEEANNA
Middle Name:
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 STEPHENS PL
Mailing Address - Street 2:APT 104
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2152
Mailing Address - Country:US
Mailing Address - Phone:830-237-9310
Mailing Address - Fax:
Practice Address - Street 1:2120 STEPHENS PL
Practice Address - Street 2:APT 104
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2152
Practice Address - Country:US
Practice Address - Phone:830-237-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-08
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional