Individual provider · Type 1 NPI
Charles D. Clendennen Iii, LPC-S
Professional Counselor · Live Oak, TX
NPI number
1992461131
Active
Practice location
7102 Rimwood
Live Oak, TX 78233-4208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11742 (TX) |
Professional Counselor: Definition to come...
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About NPI 1992461131
Charles D. Clendennen Iii, LPC-S's National Provider Identifier is 1992461131, issued on Nov 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Live Oak, TX. The record was last updated on Nov 11, 2021.