Provider Demographics
NPI:1104130228
Name:MCNEESE, DENEISA STARLENE (LPC)
Entity type:Individual
Prefix:
First Name:DENEISA
Middle Name:STARLENE
Last Name:MCNEESE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 RICHARDSON DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-4777
Mailing Address - Country:US
Mailing Address - Phone:432-248-6449
Mailing Address - Fax:
Practice Address - Street 1:5120 RICHARDSON DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-4777
Practice Address - Country:US
Practice Address - Phone:432-248-6449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64311101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor