Hendricks, Claude Bret
Hendricks, Claude Bret is an individual health care provider with primary practice located at 2232 Indiana Ave Suite One, Lubbock TX 79410-2139. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hendricks, Claude Bret can be contacted via phone (806) 793-6160.Contact Information
Primary practice address
2232 Indiana Ave Suite One
Lubbock TX 79410-2139
Phone: (806) 793-6160
Fax: (806) 799-0825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 11526 | Texas |
Profile Details
| NPI number | 1235134099 |
|---|---|
| LBN Legal business name | Hendricks, Claude Bret |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235134099 | NPPES |
| Texas | MEDICAID | 121914905 | |
| Texas | MEDICAID | 121914901 |
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