Basic Information
| Provider Information | |||||||||
| NPI: | 1417194531 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALDAKKOUR | ||||||||
| FirstName: | AMAL | ||||||||
| MiddleName: | ELIAS | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 BERING DR | ||||||||
| Address2: | SUITE 940 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770573151 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819211818 | ||||||||
| FaxNumber: | 2819121919 | ||||||||
| Practice Location | |||||||||
| Address1: | 1648 RICHMOND AVE | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770065255 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2817825017 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2009 | ||||||||
| LastUpdateDate: | 06/19/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 62449 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.