Provider Demographics
NPI:1033826755
Name:CUELLAR, VICTORIA ANN (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANN
Last Name:CUELLAR
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 TARA PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5714
Mailing Address - Country:US
Mailing Address - Phone:281-785-1588
Mailing Address - Fax:
Practice Address - Street 1:506 TARA PLANTATION DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5714
Practice Address - Country:US
Practice Address - Phone:281-785-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86039101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional