Provider Demographics
NPI:1730556887
Name:FERRER, CHARISSE (M ED, LPC-INTERN)
Entity type:Individual
Prefix:
First Name:CHARISSE
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:M ED, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 WOODHEAD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 CROCKER ST
Practice Address - Street 2:2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4340
Practice Address - Country:US
Practice Address - Phone:832-209-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73736101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional