| Doctor Name: | MRS. ELIZABETH RUTH ALWAIS |
| NPI Number: | 1033434857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC#603089 |
| License Number: | LPC603089 |
| Business Practice Address: | 1901 Dutton Dr Suite E San Marcos, TX - 786667573 |
| Business Phone Number: | 5123967695 |
| Business Fax Number: | 5123967633 |
| Mailing Address: | 1901 Dutton Dr, Suite E SAN MARCOS |
| State: | TX |
| Postal Code: | 786667573 |
| Phone Number: | 5123967695 |
| Fax Number: | 5123967633 |
| NPI Enumeration Date: | 04/05/2010 |
| NPI Last Update Date: | 04/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LPC603089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |