Provider Demographics
NPI:1306294715
Name:SALINAS, MARIE SUZANNE (LPC-INTERN)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:SUZANNE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 E RICHARDSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-0466
Mailing Address - Country:US
Mailing Address - Phone:210-781-9670
Mailing Address - Fax:
Practice Address - Street 1:3505 E RICHARDSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-0466
Practice Address - Country:US
Practice Address - Phone:210-781-9670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75483101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor