Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LPC 60506 | TX |
N | 101YM0800X | Mental Health Counselor | LPC 60506 | TX |
N | 101YP1600X | Pastoral Counselor | LPC 60506 | TX |
N | 101YS0200X | School Counselor | EDUCATOR CERT. | TX |
NPI | 1174746960 |
---|---|
Provider Name | Mr. John T Spoede JR. |
First Address | Katy, TX 77449-5727 |
Second Address | Katy, TX 77450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |