Provider Demographics
NPI:1346521507
Name:HUIZAR, IDALHI PATRICIA (LPC)
Entity Type:Individual
Prefix:MISS
First Name:IDALHI
Middle Name:PATRICIA
Last Name:HUIZAR
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 1:3473 SCARLET POINT DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2501
Mailing Address - Country:US
Mailing Address - Phone:915-274-8053
Mailing Address - Fax:
Practice Address - Street 1:9434 VISCOUNT BLVD
Practice Address - Street 2:STE. 234
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7057
Practice Address - Country:US
Practice Address - Phone:915-274-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65051101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health