Provider Demographics
NPI:1407014202
Name:REYES, OSCAR A (LPC)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:A
Last Name:REYES
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 1:2112 TRAWOOD DR
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3372
Mailing Address - Country:US
Mailing Address - Phone:915-778-4243
Mailing Address - Fax:915-778-4244
Practice Address - Street 1:2112 TRAWOOD DR
Practice Address - Street 2:SUITE A-1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3372
Practice Address - Country:US
Practice Address - Phone:915-778-4243
Practice Address - Fax:915-778-4244
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64052101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health