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Carol A Pendley, LPC-S
Professional Counselor in Big Sandy, Texas
NPI 1609919307

Carol A Pendley is a Professional Counselor based in Big Sandy, TX and is specialized in Professional. Carol A Pendley practices in Big Sandy, TX and has the professional credentials of LPC-S. The NPI Number for Carol A Pendley is 1609919307 and holds a License No. 17613 (Texas).

The current practice location address for Carol A Pendley is 101 E Gilmer St., Big Sandy, TX and can be reached out via phone at 903-636-4657 and via fax at 214-614-2316.

Location: 101 E Gilmer St., Big Sandy, TX, 75755-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609919307
Provider Name
Carol A Pendley
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
101 E Gilmer St., Big Sandy, TX, 75755-2101
Phone Number
903-636-4657
Fax Number
214-614-2316
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83358L 01 TX BLUE CROSS BLUE SHIELD
149784401 05 TX
institution
Provider Business Practice Location Address Details
Address
101 E Gilmer St.
City
Big Sandy
State
Texas
Zip
75755-2101
Phone Number
903-636-4657
Fax Number
214-614-2316
person
Provider Business Mailing Address Details
Address
101 E Gilmer St.
City
Big Sandy
State
Texas
Zip
75755-2101
Phone Number
903-636-4657
Fax Number
214-614-2316
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
17613 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
17613 (Texas)
Definition
Definition to come...
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