Provider Demographics
NPI:1245440213
Name:VILLATORO, CLARA I (LCDC, LPC)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:I
Last Name:VILLATORO
Suffix:
Gender:F
Credentials:LCDC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10722 CRADDOCK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-3806
Mailing Address - Country:US
Mailing Address - Phone:832-563-9059
Mailing Address - Fax:281-498-2567
Practice Address - Street 1:7007 NORTH FWY
Practice Address - Street 2:300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1324
Practice Address - Country:US
Practice Address - Phone:281-822-9280
Practice Address - Fax:281-822-9288
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional