Provider Demographics
NPI:1184825614
Name:SEBUNG, MARY KAREN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:KAREN
Last Name:SEBUNG
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MCCARRON CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5979
Mailing Address - Country:US
Mailing Address - Phone:281-808-6929
Mailing Address - Fax:
Practice Address - Street 1:128 MCCARRON CT
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-5979
Practice Address - Country:US
Practice Address - Phone:281-808-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3460106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist