Provider Demographics
NPI:1851606537
Name:CORTEZ, ELIZABETH (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CORTEZ
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 1:801 BEATRICE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-2769
Mailing Address - Country:US
Mailing Address - Phone:956-467-2203
Mailing Address - Fax:956-587-0248
Practice Address - Street 1:5415 N MCCOLL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2206
Practice Address - Country:US
Practice Address - Phone:956-682-9131
Practice Address - Fax:956-587-0248
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional