Provider Demographics
NPI:1558762658
Name:LETICIA FIERROS
Entity Type:Organization
Organization Name:LETICIA FIERROS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIERROS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:956-371-0129
Mailing Address - Street 1:125 SUGAR TREE LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9140
Mailing Address - Country:US
Mailing Address - Phone:956-371-0129
Mailing Address - Fax:
Practice Address - Street 1:125 SUGAR TREE LN
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9140
Practice Address - Country:US
Practice Address - Phone:956-371-0129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70063101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty