Provider Demographics
NPI:1235134099
Name:HENDRICKS, CLAUDE BRET (LPC)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:BRET
Last Name:HENDRICKS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 48TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-4009
Mailing Address - Country:US
Mailing Address - Phone:806-766-0310
Mailing Address - Fax:806-744-9580
Practice Address - Street 1:2232 INDIANA AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2139
Practice Address - Country:US
Practice Address - Phone:806-793-6160
Practice Address - Fax:806-799-0825
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11526101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121914905Medicaid
TX121914901Medicaid