Provider Demographics
NPI:1427768035
Name:PICI, MATTHEW FRANCIS (LPC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:FRANCIS
Last Name:PICI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 MONARCH DR. STE A-300
Mailing Address - Street 2:#219
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7979
Mailing Address - Country:US
Mailing Address - Phone:832-443-8535
Mailing Address - Fax:
Practice Address - Street 1:902 E CALTON RD STE 105
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6359
Practice Address - Country:US
Practice Address - Phone:832-443-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80739101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health