Provider Demographics
NPI:1811721723
Name:BARRERA, DANIEL (LPC-A)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BARRERA
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W LONGORIA DR
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-8986
Mailing Address - Country:US
Mailing Address - Phone:956-330-7873
Mailing Address - Fax:
Practice Address - Street 1:813 N MAIN ST STE 621
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-0114
Practice Address - Country:US
Practice Address - Phone:956-335-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health