Provider Demographics
NPI:1083348858
Name:CORRO, KARLA (LPC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:CORRO
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 1:14615 STIRRUP TRCE
Mailing Address - Street 2:
Mailing Address - City:ELMENDORF
Mailing Address - State:TX
Mailing Address - Zip Code:78112-0476
Mailing Address - Country:US
Mailing Address - Phone:210-438-2671
Mailing Address - Fax:214-943-9407
Practice Address - Street 1:4202 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-1864
Practice Address - Country:US
Practice Address - Phone:210-366-0607
Practice Address - Fax:210-366-3106
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional