Provider Demographics
NPI:1811250798
Name:CRESPO, SHAWN (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:
Last Name:CRESPO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SHAWN
Other - Middle Name:
Other - Last Name:HOTTELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:17411 KENTON CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-0882
Mailing Address - Country:US
Mailing Address - Phone:361-549-2360
Mailing Address - Fax:832-847-4030
Practice Address - Street 1:21830 KINGSLAND BLVD STE 106
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2500
Practice Address - Country:US
Practice Address - Phone:832-651-9666
Practice Address - Fax:832-847-4030
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional