Provider Demographics
NPI:1558719203
Name:ZUBIA, ROGELIO A (MED, LPC)
Entity Type:Individual
Prefix:MR
First Name:ROGELIO
Middle Name:A
Last Name:ZUBIA
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:PRESIDIO
Mailing Address - State:TX
Mailing Address - Zip Code:79845-0329
Mailing Address - Country:US
Mailing Address - Phone:432-294-2784
Mailing Address - Fax:
Practice Address - Street 1:1501 N ERMA AVE.
Practice Address - Street 2:
Practice Address - City:PRESIDIO
Practice Address - State:TX
Practice Address - Zip Code:79845
Practice Address - Country:US
Practice Address - Phone:432-229-3030
Practice Address - Fax:432-229-2500
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional