Provider Demographics
NPI:1275891517
Name:ESCALANTE GAMA, CLAUDIA (LPC-INTERN)
Entity Type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:
Last Name:ESCALANTE GAMA
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11999 KATY FWY STE 490
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1608
Mailing Address - Country:US
Mailing Address - Phone:281-509-0006
Mailing Address - Fax:281-597-9761
Practice Address - Street 1:11999 KATY FWY STE 490
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1608
Practice Address - Country:US
Practice Address - Phone:281-509-0006
Practice Address - Fax:281-597-9761
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health