Individual
GENE C BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
10333 NORTHWEST FWY, 505, HOUSTON, TX 77092-8235
(713) 256-1127
(281) 261-0334
Mailing address
1243 MOUNTAIN LAKE DR, MISSOURI CITY, TX 77459-1509
(713) 256-1127
(281) 261-0334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9950
TX
101YM0800X
Mental Health Counselor
18797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153738301
—
TX
05
—
153738302
—
TX
05
—
163476801
—
TX
Enumeration date
02/14/2007
Last updated
02/14/2013
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