Provider Demographics
NPI:1669665378
Name:CLARKSON LEE, SUNSHINE L (LPC)
Entity Type:Individual
Prefix:
First Name:SUNSHINE
Middle Name:L
Last Name:CLARKSON LEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SUNSHINE
Other - Middle Name:L
Other - Last Name:CLARKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1067 FM 306
Mailing Address - Street 2:STE 607
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6897
Mailing Address - Country:US
Mailing Address - Phone:830-837-5550
Mailing Address - Fax:830-625-5877
Practice Address - Street 1:1067 FM 306
Practice Address - Street 2:STE 607
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6897
Practice Address - Country:US
Practice Address - Phone:830-837-5550
Practice Address - Fax:830-625-5877
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-26
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
TX18527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164280304Medicaid