MEDICARE: KASSANDRA A VILLARREAL

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	101YM0800X	Mental Health Counselor	94458	TX

General Provider Information

NPI Number	:	1982534939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASSANDRA A VILLARREAL

Provider Business Mailing Address
First Line	:	PO BOX 161
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78104-0161
Country	:	US
Telephone Number	:	361-350-8088
Fax Number	:	361-350-8044

Provider Business Practice Location Address
First Line	:	204 W HEFFERMAN ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102
Country	:	US
Telephone Number	:	361-350-8088
Fax Number	:	361-350-8044

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ KASSANDRA A VILLARREAL ” Practice Location

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