LOU ANN WALLIS, LPC, PC
Mental Health at Seguin Ave, New Braunfels, TX

License number
Texas 15933
Category
Mental Health
Type
Mental Health
Owner
Name: MRS. LOUANN C WALLIS M.ED., LPC
Title: PRESIDENT
Phone: (830) 822-5054
Address
Address
468 S Seguin Ave STE. 401, New Braunfels, TX 78130
National Provider ID: 1568592533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LOU ANN WALLIS, LPC, PC

117 Mackenzie Dr, New Braunfels, TX 78130

Registration:
May 7, 2003
State ID:
0800201451
Directors:
Lou Ann Wallis (President), 117 Mackenzie Dr, New Braunfels, TX 78130,Randy Wallis (Director), 117 Mackenzie Dr, New Braunfels, TX 78130
TIN:
32011356089

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