Provider Demographics
NPI:1346306842
Name:SCHUBERT, PAMELA DIANE (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:DIANE
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 EAST 6 1/2 STREET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009
Mailing Address - Country:US
Mailing Address - Phone:713-864-9339
Mailing Address - Fax:713-863-7548
Practice Address - Street 1:9525 KATY FWY
Practice Address - Street 2:SUITE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1407
Practice Address - Country:US
Practice Address - Phone:713-864-9339
Practice Address - Fax:713-863-7548
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13704101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional