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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.

Location: 2004 U S Highway 190 W, Livingston, TX, 77351-0018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Livingston
State
Texas
Zip
77351-9601
Phone Number
936-328-5880
Fax Number
936-328-5883
person
Provider Business Mailing Address Details
Address
2004 U S Highway 190 W
City
Livingston
State
Texas
Zip
77351-9601
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
101Y00000X
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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