Provider Demographics
NPI:1225815509
Name:LOYA-HOUROUROU, EVANGELINA (LPC)
Entity Type:Individual
Prefix:
First Name:EVANGELINA
Middle Name:
Last Name:LOYA-HOUROUROU
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 1:615 S SPANISH STEPS DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-6423
Mailing Address - Country:US
Mailing Address - Phone:520-203-5072
Mailing Address - Fax:
Practice Address - Street 1:3385 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2306
Practice Address - Country:US
Practice Address - Phone:520-320-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-22123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional