Provider Demographics
NPI:1497491898
Name:ARREDONDO, DIANA (LPC)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
Last Name:ARREDONDO
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 1:106 E GABRIELLA AVE
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9703
Mailing Address - Country:US
Mailing Address - Phone:956-223-5759
Mailing Address - Fax:
Practice Address - Street 1:106 E GABRIELLA AVE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9703
Practice Address - Country:US
Practice Address - Phone:956-223-5759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty