Provider Demographics
NPI:1043389570
Name:GAUSE, CHRIS CAIN (MA)
Entity Type:Individual
Prefix:MS
First Name:CHRIS
Middle Name:CAIN
Last Name:GAUSE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CYPRESS STATION DR
Mailing Address - Street 2:#118
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1630
Mailing Address - Country:US
Mailing Address - Phone:281-444-9116
Mailing Address - Fax:281-444-1360
Practice Address - Street 1:110 CYPRESS STATION DR
Practice Address - Street 2:#118
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1630
Practice Address - Country:US
Practice Address - Phone:281-444-9116
Practice Address - Fax:281-444-1360
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health