| Alison Kunefke Mashburn, Lpc, Pa | |
|
5221 N Park Rd Texarkana TX 75503-2664 | |
| (903) 791-1051 | |
| (903) 791-1054 |
| Full Name | Alison Kunefke Mashburn, Lpc, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5221 N Park Rd, Texarkana, Texas |
| Authorized Official Name and Position | Alison Mashburn (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9037911051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Kunefke Mashburn, Lpc, Pa 5221 N Park Rd Texarkana TX 75503-2664 Ph: (903) 791-1051 | Alison Kunefke Mashburn, Lpc, Pa 5221 N Park Rd Texarkana TX 75503-2664 Ph: (903) 791-1051 |
| NPI Number | 1427258664 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427258664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 60958 (Texas) | Primary |
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