Provider Demographics
NPI:1508826009
Name:MONROE, CLARA RUTH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:RUTH
Last Name:MONROE
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 1:2601 PASADENA BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-3265
Mailing Address - Country:US
Mailing Address - Phone:713-475-0072
Mailing Address - Fax:713-472-8684
Practice Address - Street 1:2601 PASADENA BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-3265
Practice Address - Country:US
Practice Address - Phone:713-475-0072
Practice Address - Fax:713-472-8684
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19584101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19584OtherLPC