Provider Demographics
NPI:1952415192
Name:SUBER, WILLIAM A (LPC, LCDC, ADC III)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:SUBER
Suffix:
Gender:M
Credentials:LPC, LCDC, ADC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SILVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1034
Mailing Address - Country:US
Mailing Address - Phone:281-389-5081
Mailing Address - Fax:936-647-2485
Practice Address - Street 1:404 W LEWIS ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2568
Practice Address - Country:US
Practice Address - Phone:936-647-2090
Practice Address - Fax:936-647-2485
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16725101Y00000X, 101YM0800X, 101YP2500X
TX8179101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional