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NPI Code Detail

MEDICARE: CLARINDRIA MONIQUE ADDISON LPC

MEDICARE:   CLARINDRIA MONIQUE ADDISON  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor97672TX
2101YP2500XProfessional Counselor4966-125WI

General Provider Information

NPI Number : 1639473291
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARINDRIA MONIQUE ADDISON LPC
Provider Business Mailing Address
First Line : 3422 BUSINESS CENTER DR STE 106
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4159
Country : US
Telephone Number : 414-585-0760
Fax Number : 414-585-0768
Provider Business Practice Location Address
First Line : 3422 BUSINESS CENTER DR STE 106
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4159
Country : US
Telephone Number : 414-585-0760
Fax Number : 414-585-0768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2010
Last Update Date : 03/17/2026

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Directions to “ CLARINDRIA MONIQUE ADDISON LPC” Practice Location

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