Provider Demographics
NPI:1417378274
Name:CLAMON, SANDRA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:CLAMON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 PALO DURO CANYON DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-7171
Mailing Address - Country:US
Mailing Address - Phone:719-960-7597
Mailing Address - Fax:
Practice Address - Street 1:1601 PALO DURO CANYON DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7171
Practice Address - Country:US
Practice Address - Phone:832-403-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health