Provider Demographics
NPI:1629695556
Name:EGNER, MONICA LUCIA (LPC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LUCIA
Last Name:EGNER
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 1:6700 N 34TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5830
Mailing Address - Country:US
Mailing Address - Phone:210-650-4214
Mailing Address - Fax:
Practice Address - Street 1:7210 W INTERSTATE HIGHWAY 2 STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9526
Practice Address - Country:US
Practice Address - Phone:956-897-5160
Practice Address - Fax:056-598-5197
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77352101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional