Provider Demographics
NPI:1376357087
Name:VIDRINE, JAMES ANOIL (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ANOIL
Last Name:VIDRINE
Suffix:
Gender:M
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 W PARMER LN APT 1535
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4611
Mailing Address - Country:US
Mailing Address - Phone:713-254-7316
Mailing Address - Fax:
Practice Address - Street 1:9801 W PARMER LN APT 1535
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4611
Practice Address - Country:US
Practice Address - Phone:713-254-7316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health