Provider Demographics
NPI:1366591513
Name:DRYMALA, ALAN CHARLES (LPC, LMFT)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:CHARLES
Last Name:DRYMALA
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 ELAND DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-3906
Mailing Address - Country:US
Mailing Address - Phone:210-887-4081
Mailing Address - Fax:
Practice Address - Street 1:6323 SOVEREIGN ST
Practice Address - Street 2:STE 222
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5138
Practice Address - Country:US
Practice Address - Phone:210-348-6226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10956101Y00000X
TX3407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist