MEDICARE: JUAZZELYN BARRERA LPC

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
1	101YP2500X	Professional Counselor
2	101YP2500X	Professional Counselor	80600	TX

General Provider Information

NPI Number	:	1407506959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAZZELYN BARRERA LPC

Provider Business Mailing Address
First Line	:	3207 ROGERS RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4826
Country	:	US
Telephone Number	:	210-673-7970
Fax Number	:	210-680-7337

Provider Business Practice Location Address
First Line	:	3207 ROGERS RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4826
Country	:	US
Telephone Number	:	210-673-7970
Fax Number	:	210-680-7337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2022
Last Update Date	:	07/30/2025

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Directions to “ JUAZZELYN BARRERA LPC” Practice Location

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