Provider Demographics
NPI:1124887666
Name:ST. PIERRE, DESIREE (LPC-A)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:ST. PIERRE
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 LAKE VIEW LOOP
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1554
Mailing Address - Country:US
Mailing Address - Phone:907-602-0678
Mailing Address - Fax:
Practice Address - Street 1:171 LAKE VIEW LOOP
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1554
Practice Address - Country:US
Practice Address - Phone:281-310-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health