Provider Demographics
NPI:1023238946
Name:ABOOKIRE, CONSTANCE JEAN (LPC)
Entity type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:JEAN
Last Name:ABOOKIRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 EARLSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7628
Mailing Address - Country:US
Mailing Address - Phone:713-775-5888
Mailing Address - Fax:
Practice Address - Street 1:1433 EARLSHIRE PL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7628
Practice Address - Country:US
Practice Address - Phone:713-775-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1536393-01Medicaid