Provider Demographics
NPI:1154946523
Name:TRASKAUSKAS, ANN SHAREE (LPC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:SHAREE
Last Name:TRASKAUSKAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 ALVAREZ CT
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-3214
Mailing Address - Country:US
Mailing Address - Phone:956-559-0157
Mailing Address - Fax:
Practice Address - Street 1:880 RIDGEWOOD ST STE 4
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8466
Practice Address - Country:US
Practice Address - Phone:210-675-0066
Practice Address - Fax:210-618-0324
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional