Provider Demographics
NPI:1841935897
Name:TERRY, DENICE ADRIANA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:DENICE
Middle Name:ADRIANA
Last Name:TERRY
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:DENICE
Other - Middle Name:ADRIANA
Other - Last Name:MANRIQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-ASSOCIATE
Mailing Address - Street 1:8112 TURQUOISE ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-2509
Mailing Address - Country:US
Mailing Address - Phone:915-246-7465
Mailing Address - Fax:
Practice Address - Street 1:8112 TURQUOISE ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-2509
Practice Address - Country:US
Practice Address - Phone:915-246-7465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85772101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional