Provider Demographics
NPI:1720345010
Name:DRISKELL, NATHAN ALAN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:ALAN
Last Name:DRISKELL
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 HUFFMEISTER RD
Mailing Address - Street 2:103
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6785
Mailing Address - Country:US
Mailing Address - Phone:713-364-3519
Mailing Address - Fax:281-373-5202
Practice Address - Street 1:17510 HUFFMEISTER RD
Practice Address - Street 2:103
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6785
Practice Address - Country:US
Practice Address - Phone:713-364-3519
Practice Address - Fax:281-373-5202
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX66397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional