Healthcare Provider Details

I. General information

NPI: 1982335600
Provider Name (Legal Business Name): GERARDO ESQUEDA LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6423 MCPHERSON RD STE 6
LAREDO TX
78041-6144
US

IV. Provider business mailing address

6423 MCPHERSON RD STE 6
LAREDO TX
78041-6144
US

V. Phone/Fax

Practice location:
  • Phone: 956-477-9752
  • Fax:
Mailing address:
  • Phone: 956-477-9752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number85869
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: