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NPI Code Detail

MEDICARE: MRS. CAROLINA VILLARREAL LPC, ATR

MEDICARE:  MRS. CAROLINA  VILLARREAL  LPC, ATR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1221700000XArt Therapist17-298TX
2101YP2500XProfessional Counselor81607TX

General Provider Information

NPI Number : 1063163277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINA VILLARREAL LPC, ATR
Provider Business Mailing Address
First Line : 880 RIDGEWOOD ST STE 4
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-8466
Country : US
Telephone Number : 210-675-0066
Fax Number : 210-618-0324
Provider Business Practice Location Address
First Line : 880 RIDGEWOOD ST STE 4
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-8466
Country : US
Telephone Number : 210-675-0066
Fax Number : 210-618-0324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 05/13/2024

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Directions to “ MRS. CAROLINA VILLARREAL LPC, ATR” Practice Location

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