Individual
LISSA WHYTE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7011 SOUTHWEST FWY, HOUSTON, TX 77074-2007
(713) 970-7000
(713) 970-7246
Mailing address
7011 SOUTHWEST FWY, HOUSTON, TX 77074-2007
(713) 970-7000
(713) 970-7246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095933001
—
TX
05
—
095933003
—
TX
Enumeration date
08/18/2006
Last updated
07/29/2019
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