Provider Demographics
NPI:1174746960
Name:SPOEDE, JOHN T JR (M ED LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:T
Last Name:SPOEDE
Suffix:JR
Gender:M
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20214 POMEGRANATE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5727
Mailing Address - Country:US
Mailing Address - Phone:832-338-3358
Mailing Address - Fax:
Practice Address - Street 1:609 PARK GROVE DR.
Practice Address - Street 2:UNIT B
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-398-0022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 60506101Y00000X, 101YM0800X, 101YP1600X
TXEDUCATOR CERT.101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool