Individual
CHARLES D CLENDENNEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
7102 RIMWOOD, LIVE OAK, TX 78233-4208
(210) 488-1668
Mailing address
7102 RIMWOOD, LIVE OAK, TX 78233-4208
(210) 488-1668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11742
TX
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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