Provider Demographics
NPI:1003531088
Name:TREVINO, BERTHA CRISTINA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BERTHA
Middle Name:CRISTINA
Last Name:TREVINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8511 MCPHERSON RD STE 216
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6498
Mailing Address - Country:US
Mailing Address - Phone:956-740-5139
Mailing Address - Fax:
Practice Address - Street 1:8511 MCPHERSON RD STE 216
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6498
Practice Address - Country:US
Practice Address - Phone:956-740-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional