Provider Demographics
NPI:1871345785
Name:GOREE, CAIREN (MA, LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CAIREN
Middle Name:
Last Name:GOREE
Suffix:
Gender:F
Credentials:MA, LPC ASSOCIATE
Other - Prefix:
Other - First Name:CAIREN
Other - Middle Name:
Other - Last Name:WEALAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC ASSOCIATE
Mailing Address - Street 1:9409 RED RIVER DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3500 HILLCREST DR STE 8
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-3144
Practice Address - Country:US
Practice Address - Phone:254-262-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86762101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional