Provider Demographics
NPI:1811654080
Name:ISHAQ, KARISHMA (LPC)
Entity type:Individual
Prefix:
First Name:KARISHMA
Middle Name:
Last Name:ISHAQ
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 1:9438 CADDO RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7857
Mailing Address - Country:US
Mailing Address - Phone:214-334-2163
Mailing Address - Fax:
Practice Address - Street 1:9438 CADDO RIDGE LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7857
Practice Address - Country:US
Practice Address - Phone:214-334-2163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health