Provider Demographics
NPI:1841433992
Name:CATE, GWENDOLYN SUE (LPC)
Entity type:Individual
Prefix:DR
First Name:GWENDOLYN
Middle Name:SUE
Last Name:CATE
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:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:LORENZO
Mailing Address - State:TX
Mailing Address - Zip Code:79343-0486
Mailing Address - Country:US
Mailing Address - Phone:806-634-5659
Mailing Address - Fax:
Practice Address - Street 1:5212 75TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2520
Practice Address - Country:US
Practice Address - Phone:806-634-5659
Practice Address - Fax:806-634-5659
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-18
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20106101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional