Provider Demographics
NPI:1134372915
Name:FARIAS-CANO, MARIA EUGENIA (MED, LPC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:EUGENIA
Last Name:FARIAS-CANO
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9055 KATY FWY STE 306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1630
Mailing Address - Country:US
Mailing Address - Phone:713-464-9999
Mailing Address - Fax:713-490-5424
Practice Address - Street 1:9055 KATY FWY STE 306
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1630
Practice Address - Country:US
Practice Address - Phone:713-464-9999
Practice Address - Fax:713-490-5424
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health