Provider Demographics
NPI:1154700037
Name:CARREON, DULCE ANAIS (MA , LPC)
Entity type:Individual
Prefix:MISS
First Name:DULCE
Middle Name:ANAIS
Last Name:CARREON
Suffix:
Gender:F
Credentials:MA , LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1609
Mailing Address - Country:US
Mailing Address - Phone:956-627-4874
Mailing Address - Fax:956-348-0852
Practice Address - Street 1:5211 S MCCOLL RD STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7835
Practice Address - Country:US
Practice Address - Phone:956-627-4874
Practice Address - Fax:956-348-0852
Is Sole Proprietor?:No
Enumeration Date:2015-05-25
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71014101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350182702Medicaid