Provider Demographics
NPI:1164602421
Name:JAMES, THERESA ANN (LPC)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:JAMES
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 1:3777 SIENNA PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6015
Mailing Address - Country:US
Mailing Address - Phone:281-710-2308
Mailing Address - Fax:281-438-4161
Practice Address - Street 1:3777 SIENNA PKWY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6015
Practice Address - Country:US
Practice Address - Phone:281-710-2308
Practice Address - Fax:281-438-4161
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61556101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional