Provider Demographics
NPI:1568013860
Name:CHAPA, JUAN JOSE JR (MS, LPC, CCST)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:JOSE
Last Name:CHAPA
Suffix:JR
Gender:M
Credentials:MS, LPC, CCST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 CARLISLE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3876
Mailing Address - Country:US
Mailing Address - Phone:956-731-9776
Mailing Address - Fax:
Practice Address - Street 1:3202 W ALBERTA RD STE C
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9635
Practice Address - Country:US
Practice Address - Phone:956-215-1346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77491101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional