Provider Demographics
NPI:1003539297
Name:PEREZ, MONICA LEXCINNE (LPC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LEXCINNE
Last Name:PEREZ
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 1:2121 W CHAMPION ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7376
Mailing Address - Country:US
Mailing Address - Phone:956-207-7490
Mailing Address - Fax:
Practice Address - Street 1:2121 W CHAMPION ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7376
Practice Address - Country:US
Practice Address - Phone:956-207-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional