Provider Demographics
NPI:1033281100
Name:LACHANCE, PATRICIA JANE (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JANE
Last Name:LACHANCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2412
Mailing Address - Country:US
Mailing Address - Phone:281-338-2218
Mailing Address - Fax:
Practice Address - Street 1:620 3RD ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2412
Practice Address - Country:US
Practice Address - Phone:281-338-2218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS168771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical