Alyssa Slack

NPI #1770238511 in Bryan, Texas

Provider Information

NPI Number
1770238511
Entity Type
Individual
Name
Alyssa Slack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Feb 21, 2022
Last Updated
Feb 21, 2022

Practice Location

Address
1401 SANDIA PLZ
City
Bryan
State
Texas
ZIP Code
77802-4356
Phone
(979) 217-1378

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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