Provider Demographics
NPI:1528639093
Name:REGUENES, ROBERTO (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:REGUENES
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:MR
Other - First Name:ROBERTO
Other - Middle Name:
Other - Last Name:REGUENES
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LCDC
Mailing Address - Street 1:712 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2410
Mailing Address - Country:US
Mailing Address - Phone:956-266-1128
Mailing Address - Fax:
Practice Address - Street 1:712 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2410
Practice Address - Country:US
Practice Address - Phone:956-266-1128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health