# CLEAR LAKE COUNSELING SERVICESPCINC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225046634
- **Authorized official:** MISS CYNTHIA LADDEL WHEELER L.C.D.C. (PRESIDENT)
- **Authorized official phone:** (281) 289-0393

## Contact information

- **Practice address:** 17629 EL CAMINO REAL, 190, HOUSTON, TX 77058-2901
- **Practice address phone:** (281) 280-0393
- **Practice address fax:** (281) 280-0123
- **Mailing address:** 17629 EL CAMINO REAL, 190, HOUSTON, TX 77058-2901
- **Mailing address phone:** (281) 280-0393
- **Mailing address fax:** (281) 280-0123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 752A | TX | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020
