Provider Demographics
NPI:1447332176
Name:DICKINSON, SAUNDRA L (LPC LMFT NCC)
Entity type:Individual
Prefix:MRS
First Name:SAUNDRA
Middle Name:L
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:LPC LMFT NCC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10203 BIRCHRIDGE DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-358-3299
Mailing Address - Fax:281-358-5890
Practice Address - Street 1:10203 BIRCHRIDGE DR
Practice Address - Street 2:SUITE G
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-358-3299
Practice Address - Fax:281-358-5890
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10995101YP2500X
TX3528106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist