Provider Demographics
NPI:1942449897
Name:CHAN, DOUGLAS TSZ-SHING (LPC)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:TSZ-SHING
Last Name:CHAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21506 JUNIPER MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4758
Mailing Address - Country:US
Mailing Address - Phone:281-222-2369
Mailing Address - Fax:
Practice Address - Street 1:21506 JUNIPER MEADOWS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4758
Practice Address - Country:US
Practice Address - Phone:281-222-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional