Provider Demographics
NPI:1639587645
Name:PRICE, BOBBY DEAN JR (LPC)
Entity Type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:DEAN
Last Name:PRICE
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:DR
Other - First Name:BOBBY
Other - Middle Name:DEAN
Other - Last Name:PRICE
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:3014 PARK SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8879
Mailing Address - Country:US
Mailing Address - Phone:281-745-1242
Mailing Address - Fax:
Practice Address - Street 1:3014 PARK SPRINGS LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8879
Practice Address - Country:US
Practice Address - Phone:281-745-1242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional