Provider Demographics
NPI:1477925964
Name:DAVIS, ALLISON CLAIRE (LPC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:CLAIRE
Last Name:DAVIS
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 1:705 W HOPKINS ST STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-4380
Mailing Address - Country:US
Mailing Address - Phone:512-774-4222
Mailing Address - Fax:
Practice Address - Street 1:705 W HOPKINS ST STE 109
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-4380
Practice Address - Country:US
Practice Address - Phone:512-774-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health