Healthcare Provider Details

I. General information

NPI: 1982064713
Provider Name (Legal Business Name): REBECCA REY ZAPATA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 N MAGDALEN ST
SAN ANGELO TX
76903-5434
US

IV. Provider business mailing address

242 N MAGDALEN ST
SAN ANGELO TX
76903-5434
US

V. Phone/Fax

Practice location:
  • Phone: 325-944-2561
  • Fax: 325-653-1872
Mailing address:
  • Phone: 325-944-2561
  • Fax: 325-653-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number69653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: