Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 68252 | TX |
NPI | 1003251794 |
---|---|
Provider Name | Carene Dawn Hammond |
First Address | Lufkin, TX 75901-6260 |
Second Address | Lufkin, TX 75901-6260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2013 |
Last Update Date | 08/05/2013 |