Provider Demographics
NPI:1053602078
Name:JAMES, ALLISON ANN (LCSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANN
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 CROOKED CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-4362
Mailing Address - Country:US
Mailing Address - Phone:936-414-2249
Mailing Address - Fax:
Practice Address - Street 1:1320 CROOKED CREEK DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-4362
Practice Address - Country:US
Practice Address - Phone:936-414-2249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX508491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical