Provider Demographics
NPI:1609203918
Name:JAMES, DEIRDRE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DEIRDRE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:DEIRDRE
Other - Middle Name:
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4200 CYPRESS CREEK PKWY APT 536
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3434
Mailing Address - Country:US
Mailing Address - Phone:478-714-9123
Mailing Address - Fax:
Practice Address - Street 1:1101 FOSTER DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-5111
Practice Address - Country:US
Practice Address - Phone:478-714-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist