Provider Demographics
NPI:1285104695
Name:MANN, ALISON (LPC, LPCC)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:MANN
Suffix:
Gender:
Credentials:LPC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 NATCHEZ DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-2189
Mailing Address - Country:US
Mailing Address - Phone:214-893-4521
Mailing Address - Fax:
Practice Address - Street 1:1110 NATCHEZ DR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-2189
Practice Address - Country:US
Practice Address - Phone:214-893-4521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75368101YM0800X
TX101YS0200X
CA18844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool