Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 69483 | TX |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 12087 | TX |
Y | 101YP2500X | Professional Counselor | 69483 | TX |
N | 225C00000X | Rehabilitation Counselor | 00114258 | IL |
NPI | 1033462023 |
---|---|
Provider Name | Cassandra Garza-Juarez |
First Address | Mcallen, TX 78504-3825 |
Second Address | Mission, TX 78572-2965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2012 |
Last Update Date | 28/11/2016 |