Provider Demographics
NPI:1659482628
Name:GUERRA, HECTOR (LPC)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:GUERRA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 E CALTON RD STE 109
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3664
Mailing Address - Country:US
Mailing Address - Phone:956-791-0338
Mailing Address - Fax:956-791-0374
Practice Address - Street 1:709 E CALTON RD STE 109
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3664
Practice Address - Country:US
Practice Address - Phone:956-791-0338
Practice Address - Fax:956-791-0374
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional