Doctor Name: | ANDREA P GREEBON |
NPI Number: | 1194058065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 62408 |
Business Practice Address: | 1301 S Capital Of Texas Hwy Building C, Suite 130 West Lake Hills, TX - 787466574 |
Business Phone Number: | 5129196384 |
Business Fax Number: | |
Mailing Address: | 1301 S Capital Of Texas Hwy, Building C, Suite 130 WEST LAKE HILLS |
State: | TX |
Postal Code: | 787466574 |
Phone Number: | 5129196384 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 62408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |