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NPI Code Detail

MEDICARE: SHONDA KAMHOLZ LPC, LCDC

MEDICARE: SHONDA KAMHOLZ LPC, LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor11532TX
2101YP2500XProfessional Counselor77373TX

General Provider Information

NPI Number : 1619359619
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHONDA KAMHOLZ LPC, LCDC
Provider Business Mailing Address
First Line : 331 HAYMARKET LN
Second Line :
City : HOUSTON
State : TX
Zip : 77015-2543
Country : US
Telephone Number : 713-724-0789
Fax Number :
Provider Business Practice Location Address
First Line : 5715 LAVENDER ST
Second Line :
City : HOUSTON
State : TX
Zip : 77026-1725
Country : US
Telephone Number : 832-314-4593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2015
Last Update Date : 01/16/2019

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