Provider Demographics
NPI:1639867419
Name:VILLARREAL, ZAIRA JOANNA (LPC)
Entity Type:Individual
Prefix:
First Name:ZAIRA
Middle Name:JOANNA
Last Name:VILLARREAL
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 1:3908 DUNLIN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5191
Mailing Address - Country:US
Mailing Address - Phone:956-212-5571
Mailing Address - Fax:
Practice Address - Street 1:3908 DUNLIN AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5191
Practice Address - Country:US
Practice Address - Phone:956-212-5571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health