Provider Demographics
NPI:1629622865
Name:HEBERT, SONJA (LPC)
Entity Type:Individual
Prefix:MS
First Name:SONJA
Middle Name:
Last Name:HEBERT
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 1:3980 N MAJOR DR APT 1222
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-4203
Mailing Address - Country:US
Mailing Address - Phone:504-331-7342
Mailing Address - Fax:
Practice Address - Street 1:3980 N MAJOR DR APT 1222
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77713-4203
Practice Address - Country:US
Practice Address - Phone:504-331-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74341101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional