Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 34555 | TX |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 34555 | TX |
N | 101YM0800X | Mental Health Counselor | 34555 | TX |
N | 101YP2500X | Professional Counselor | 34555 | TX |
N | 103K00000X | Behavior Analyst | 34555 | TX |
N | 102L00000X | Psychologist | 34555 | TX |
N | 103T00000X | Psychologist | 34555 | TX |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 34555 | TX |
N | 103TA0700X | Adult Development & Aging Psychologist | 34555 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 34555 | TX |
N | 103TC1900X | Counseling Psychologist | 34555 | TX |
N | 103TH0004X | Health Psychologist | ||
Y | 103TH0004X | Health Psychologist | 34555 | TX |
N | 103TH0100X | Health Service | 34555 | TX |
N | 103TM1800X | Intellectual & Developmental Disabilities | 34555 | TX |
N | 103TP2701X | Group Psychotherapist | 34555 | TX |
NPI | 1386963858 |
---|---|
Provider Name | Dr. Kristen Heather Chambliss |
First Address | Friendswood, TX 77546-2667 |
Second Address | Friendswood, TX 77546-2667 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 12/05/2011 |