Provider Demographics
NPI:1710507231
Name:WASHINGTON, ALEESHA JENAE (LPC-I)
Entity Type:Individual
Prefix:MS
First Name:ALEESHA
Middle Name:JENAE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 W SAM HOUSTON PKWY S STE 280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1991
Mailing Address - Country:US
Mailing Address - Phone:346-800-1922
Mailing Address - Fax:
Practice Address - Street 1:888 W SAM HOUSTON PKWY S STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1991
Practice Address - Country:US
Practice Address - Phone:346-800-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83685101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty