Provider Demographics
NPI:1952511453
Name:SALINAS, MARIA D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:D
Last Name:SALINAS
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 1:325 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6059
Mailing Address - Country:US
Mailing Address - Phone:956-455-9378
Mailing Address - Fax:
Practice Address - Street 1:4985 LAKEWAY DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9265
Practice Address - Country:US
Practice Address - Phone:956-350-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1841009Medicaid