Individual provider · Type 1 NPI

Amie Idicula, LPC, M.A.

Mental Health Counselor · Houston, TX

NPI number 1649729641 Active

Practice location

2627 Caroline St
Houston, TX 77004-1114

Mailing address

3515 Shoreview Ln
Missouri City, TX 77459-4709

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X72693 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1649729641

Amie Idicula, LPC, M.A.'s National Provider Identifier is 1649729641, issued on Oct 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Houston, TX. The record was last updated on Oct 2, 2016.