Individual
CARRIE CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LPC
Contact information
Practice address
24303 W OAK DR, PORTER, TX 77365-5673
(615) 906-4166
Mailing address
24303 W OAK DR, PORTER, TX 77365-5673
(615) 906-4166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13825
TX
101YP2500X
Professional Counselor
Primary
81264
TX
Other
Enumeration date
11/18/2020
Last updated
08/30/2021
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