Provider Demographics
NPI:1285781435
Name:THOMPSON, CONSTANCE MARIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:MARIE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CONSTANCE
Other - Middle Name:MARIE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2709 SIENNA SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7224
Mailing Address - Country:US
Mailing Address - Phone:713-436-2584
Mailing Address - Fax:713-556-7024
Practice Address - Street 1:2101 CRAWFORD ST
Practice Address - Street 2:SUITE,308
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8942
Practice Address - Country:US
Practice Address - Phone:713-650-3005
Practice Address - Fax:713-650-6221
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional