Provider Demographics
NPI:1437358942
Name:MUZQUIZ, YVONNE (LPC)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:MUZQUIZ
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 1:4122 WEBER RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3100
Mailing Address - Country:US
Mailing Address - Phone:361-834-7814
Mailing Address - Fax:
Practice Address - Street 1:4122 WEBER RD
Practice Address - Street 2:SUITE E
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3100
Practice Address - Country:US
Practice Address - Phone:361-334-1161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17336101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor