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1922577485 NPI number — CHARLES HUSTON MCCOMB JR. LPC-S, CSAT, CMAT

NPI Number: 1922577485
Health Care Provider/Practitioner: CHARLES HUSTON MCCOMB JR. LPC-S, CSAT, CMAT

Information about “1922577485” NPI (CHARLES HUSTON MCCOMB JR. LPC-S, CSAT, CMAT) exists in 1922577485 in HTML format HTML  |  1922577485 in plain Text format TXT  |  1922577485 in PDF (Portable Document Format) PDF  |  1922577485 in an XML format XML  formats.

NPI Number : 1922577485 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922577485",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCOMB",
    "FirstName": "CHARLES",
    "MiddleName": "HUSTON",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "LPC-S, CSAT, CMAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2947 BROADWAY ST STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77581-9500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "346-302-8089",
    "MailingAddressFaxNumber": "346-635-7109",
    "FirstLinePracticeLocationAddress": "2947 BROADWAY ST STE 100",
    "SecondLinePracticeLocationAddress": "STE 100",
    "PracticeLocationAddressCityName": "PEARLAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77581-9500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "346-302-8089",
    "PracticeLocationAddressFaxNumber": "346-635-7109",
    "EnumerationDate": "11/14/2018",
    "LastUpdateDate": "02/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "62699",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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