Individual
CAROL A PENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
101 E GILMER ST., BIG SANDY, TX 75755-2101
(903) 636-4657
(214) 614-2316
Mailing address
307 N PEARL ST, BIG SANDY, TX 75755-2101
(903) 636-4657
(214) 614-2316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17613
TX
101YP2500X
Professional Counselor
Primary
17613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149784401
—
TX
01
—
83358L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/14/2007
Last updated
10/18/2016
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