Provider Demographics
NPI:1023168861
Name:VARGAS, MARIA ANGELICA (MA LPC)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANGELICA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 540822
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77254
Mailing Address - Country:US
Mailing Address - Phone:713-521-0682
Mailing Address - Fax:713-771-5272
Practice Address - Street 1:3100 TIMMONS
Practice Address - Street 2:SUITE 545
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-521-0682
Practice Address - Fax:713-771-5272
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13797103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist