Provider Demographics
NPI:1699407858
Name:ESCOBAR, CATRINA MONIQUE (LAC)
Entity Type:Individual
Prefix:
First Name:CATRINA
Middle Name:MONIQUE
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 W OVIEDO CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-1213
Mailing Address - Country:US
Mailing Address - Phone:520-861-8768
Mailing Address - Fax:
Practice Address - Street 1:1807 W OVIEDO CT
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85746-1213
Practice Address - Country:US
Practice Address - Phone:520-861-8768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health