Doctor Name: | MRS. TAMARA LEIGH ESTEP |
NPI Number: | 1043505258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 65682 |
Business Practice Address: | 16514 Evening Star Ct Crosby, TX - 775325029 |
Business Phone Number: | 2817313108 |
Business Fax Number: | |
Mailing Address: | 16514 Evening Star Ct, CROSBY |
State: | TX |
Postal Code: | 775325029 |
Phone Number: | 2817313108 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 65682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |