Provider Demographics
NPI:1720448905
Name:TOLSON, SHAUNAE (LPC)
Entity Type:Individual
Prefix:
First Name:SHAUNAE
Middle Name:
Last Name:TOLSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 PARK TWO DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2840
Mailing Address - Country:US
Mailing Address - Phone:713-271-7777
Mailing Address - Fax:
Practice Address - Street 1:820 PARK TWO DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2840
Practice Address - Country:US
Practice Address - Phone:713-271-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82068101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional