Doctor Name: | CAMBREY DORI LINDSAY |
NPI Number: | 1275611394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 16790 |
Business Practice Address: | 104 Blanco St Kyle, TX - 786409353 |
Business Phone Number: | 7132693326 |
Business Fax Number: | |
Mailing Address: | 104 Blanco St, KYLE |
State: | TX |
Postal Code: | 786409353 |
Phone Number: | 7132693326 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 16790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |