Provider Demographics
NPI:1417194531
Name:ALDAKKOUR, AMAL ELIAS (LPC)
Entity Type:Individual
Prefix:MS
First Name:AMAL
Middle Name:ELIAS
Last Name:ALDAKKOUR
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 1:1800 BERING DR
Mailing Address - Street 2:SUITE 940
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3151
Mailing Address - Country:US
Mailing Address - Phone:281-921-1818
Mailing Address - Fax:281-912-1919
Practice Address - Street 1:1648 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5255
Practice Address - Country:US
Practice Address - Phone:281-782-5017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62449101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional