Provider Demographics
NPI:1245843978
Name:DEMAR, RALPH (LPC)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:
Last Name:DEMAR
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 1:4042 PAULETTE DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3024
Mailing Address - Country:US
Mailing Address - Phone:832-754-1548
Mailing Address - Fax:832-781-8329
Practice Address - Street 1:8351 RUTHBY ST.
Practice Address - Street 2:#5E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061
Practice Address - Country:US
Practice Address - Phone:832-754-1548
Practice Address - Fax:832-781-8329
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14726101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty