Individual provider · Type 1 NPI
Kenyon T. Thibeaux, MA, LPC, LCDCI
Professional Counselor · Houston, TX
NPI number
1720348535
Active
Practice location
10039 Bissonnet St
Houston, TX 77036-7854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 66995 (TX) |
| Professional Counselor Primary | 101YP2500X | 66995 (TX) |
Professional Counselor: Definition to come...
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About NPI 1720348535
Kenyon T. Thibeaux, MA, LPC, LCDCI's National Provider Identifier is 1720348535, issued on May 26, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Houston, TX. The record was last updated on May 26, 2012.