person
Mr. Edward Harold Pendleton, MA,LPC,LCDC
Counselor in Livingston, Texas
NPI 1265437495

Edward Harold Pendleton is a Counselor based in Livingston, TX. Edward Harold Pendleton practices in Livingston, TX and has the professional credentials of MA,LPC,LCDC. The NPI Number for Edward Harold Pendleton is 1265437495 and holds a License No. 17475 (Texas).

The current practice location address for Edward Harold Pendleton is 2004 U S Highway 190 W, Livingston, TX and can be reached out via phone at 936-328-5880 and via fax at 936-328-5883. You can also correspond with Edward Harold Pendleton through the mailing address at PO BOX 1047, LIVINGSTON, TX - 77351-0018 (mailing address contact number: 936-328-5880).

Location: 2004 U S Highway 190 W, Livingston, TX, 77351-0018
person
Provider Profile Details
NPI Number
1265437495
Provider Name
Edward Harold Pendleton
Credential
MA,LPC,LCDC
Provider Entity Type
Individual
Gender
Male
Address
2004 U S Highway 190 W, Livingston, TX, 77351-0018
Phone Number
936-328-5880
Fax Number
936-328-5883
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508236-01 05 TX
2119098 01 TX CIGNA BEHAVIORAL HEALTH
7605707 01 TX AETNA
PENDL-0002 01 TX COMPCARE PROVIDER ID
11451816 01 TX CAQH PROVIDER ID
551895 01 TX VALUE OPTIONS
719494000 01 TX MAGELLAN
6088LC 01 TX BLUECROSS/BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
2004 U S Highway 190 W
City
State
Zip
77351-9601
Phone Number
936-328-5880
Fax Number
936-328-5883
person
Provider Business Mailing Address Details
Address
Po Box 1047
City
State
Zip
77351-0018
Phone Number
936-328-5880
Fax Number
936-328-5883
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
17475 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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