Provider Demographics
NPI:1205183795
Name:ESPINOSA-QUIROZ, ERICA N (MA, LPC, LSSP)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:N
Last Name:ESPINOSA-QUIROZ
Suffix:
Gender:F
Credentials:MA, LPC, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 HOUGHTON RD
Mailing Address - Street 2:#1712
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3070
Mailing Address - Country:US
Mailing Address - Phone:832-457-4396
Mailing Address - Fax:
Practice Address - Street 1:9525 KATY FWY
Practice Address - Street 2:SUITE 312
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1407
Practice Address - Country:US
Practice Address - Phone:832-457-4396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional