Provider Demographics
NPI:1992819494
Name:ZAMORA, MICHELE G (LPC)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:G
Last Name:ZAMORA
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 1:4915 LOUISIANA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6209
Mailing Address - Country:US
Mailing Address - Phone:713-524-8161
Mailing Address - Fax:713-942-2061
Practice Address - Street 1:4902 TRAVIS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9748
Practice Address - Country:US
Practice Address - Phone:713-524-8161
Practice Address - Fax:713-942-2061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional