Provider Demographics
NPI:1033991062
Name:PRIETO, PATRICIA CECILIA (LPC-A)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CECILIA
Last Name:PRIETO
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:CECILIA
Other - Last Name:PRIETO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-1
Mailing Address - Street 1:12432 RED SUN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-7737
Mailing Address - Country:US
Mailing Address - Phone:915-799-4227
Mailing Address - Fax:
Practice Address - Street 1:12432 RED SUN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-7737
Practice Address - Country:US
Practice Address - Phone:915-799-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85390101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor