Provider Demographics
NPI:1306992177
Name:TREVINO-ZUNIGA, MARIA DEL CONSUELO (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DEL CONSUELO
Last Name:TREVINO-ZUNIGA
Suffix:
Gender:F
Credentials:MED, 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 3108
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-8022
Mailing Address - Country:US
Mailing Address - Phone:956-802-3438
Mailing Address - Fax:
Practice Address - Street 1:912 EL GATO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-9600
Practice Address - Country:US
Practice Address - Phone:956-802-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional