Provider Demographics
NPI:1043505258
Name:ESTEP, TAMARA LEIGH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:LEIGH
Last Name:ESTEP
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 1:16514 EVENING STAR CT
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-5029
Mailing Address - Country:US
Mailing Address - Phone:281-731-3108
Mailing Address - Fax:
Practice Address - Street 1:16514 EVENING STAR CT
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-5029
Practice Address - Country:US
Practice Address - Phone:281-731-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional