Provider Demographics
NPI:1790824373
Name:ESPINOZA, KATINA LANETTE (MS-LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATINA
Middle Name:LANETTE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:MS-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8213 LIGHTHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-7880
Mailing Address - Country:US
Mailing Address - Phone:214-287-7612
Mailing Address - Fax:972-475-5818
Practice Address - Street 1:8213 LIGHTHOUSE DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-7880
Practice Address - Country:US
Practice Address - Phone:214-287-7612
Practice Address - Fax:972-475-5818
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional