Provider Demographics
NPI:1376211078
Name:LONGORIA, RIGOBERTO (LPC)
Entity Type:Individual
Prefix:
First Name:RIGOBERTO
Middle Name:
Last Name:LONGORIA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 BUSINESS PARK DR STE 11
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6054
Mailing Address - Country:US
Mailing Address - Phone:956-766-7441
Mailing Address - Fax:956-766-7441
Practice Address - Street 1:909 BUSINESS PARK DR STE 11
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6054
Practice Address - Country:US
Practice Address - Phone:956-766-7441
Practice Address - Fax:956-766-7441
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82897101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional