Provider Demographics
NPI:1801063706
Name:SOLOMON, CHARMAINE DESIREE (MA LPC RPT)
Entity type:Individual
Prefix:MRS
First Name:CHARMAINE
Middle Name:DESIREE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MA LPC RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 WITTMORE PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6142
Mailing Address - Country:US
Mailing Address - Phone:214-632-5793
Mailing Address - Fax:
Practice Address - Street 1:175 S RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5104
Practice Address - Country:US
Practice Address - Phone:469-833-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional