Provider Demographics
NPI:1902405905
Name:CAMBRON COUNSELING
Entity Type:Organization
Organization Name:CAMBRON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARAH
Authorized Official - Middle Name:CHANNAN
Authorized Official - Last Name:CAMBRON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-249-1793
Mailing Address - Street 1:20103 INDIGO LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-4130
Mailing Address - Country:US
Mailing Address - Phone:713-249-1793
Mailing Address - Fax:
Practice Address - Street 1:33300 EGYPT LN STE K900
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3338
Practice Address - Country:US
Practice Address - Phone:832-585-3656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty