Provider Demographics
NPI:1194328922
Name:ABREGO, MARGARITA CARMEN I (MA)
Entity type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:CARMEN
Last Name:ABREGO
Suffix:I
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6924 ECHO CLIFFS DR # A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7601
Mailing Address - Country:US
Mailing Address - Phone:915-307-5369
Mailing Address - Fax:
Practice Address - Street 1:6924 ECHO CLIFFS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7601
Practice Address - Country:US
Practice Address - Phone:915-307-5369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional