Provider Demographics
NPI:1457879025
Name:CONTRERAS, SANDRA (DPC, LPC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:DPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 MONACO BLVD APT D35
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6846
Mailing Address - Country:US
Mailing Address - Phone:956-237-8794
Mailing Address - Fax:
Practice Address - Street 1:5702 MCPHERSON RD STE 16B
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6884
Practice Address - Country:US
Practice Address - Phone:956-335-6024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional