Provider Demographics
NPI:1255156220
Name:CRITTENDEN, ALISON (LPC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:CRITTENDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 CELIA DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76302-4127
Mailing Address - Country:US
Mailing Address - Phone:940-631-7752
Mailing Address - Fax:
Practice Address - Street 1:4722 TAFT BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-4872
Practice Address - Country:US
Practice Address - Phone:940-217-6720
Practice Address - Fax:940-217-6725
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional