Doctor Name: | MICHAEL B DRIGGS |
NPI Number: | 1508855065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 11148 |
Business Practice Address: | 403 State Highway 110 North Whitehouse, TX - 75791 |
Business Phone Number: | 9038391000 |
Business Fax Number: | 9038394000 |
Mailing Address: | 403 State Highway 110 North, WHITEHOUSE |
State: | TX |
Postal Code: | 75791 |
Phone Number: | 9038391000 |
Fax Number: | 9038394000 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 11148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |