Healthcare Provider Details
I. General information
NPI: 1861644569
Provider Name (Legal Business Name): JAMES D ALTERMAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/14/2008
Last Update Date: 10/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6640 LONG POINT RD
HOUSTON TX
77055-2633
US
IV. Provider business mailing address
6640 LONG POINT RD
HOUSTON TX
77055-2633
US
V. Phone/Fax
- Phone: 713-686-9194
- Fax: 713-686-9413
- Phone: 713-686-9194
- Fax: 713-686-9413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 62806 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: