Provider Demographics
NPI:1700772241
Name:OCHOA, JANICE ALEXANDRA
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ALEXANDRA
Last Name:OCHOA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6423 MCPHERSON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6144
Mailing Address - Country:US
Mailing Address - Phone:956-477-9752
Mailing Address - Fax:
Practice Address - Street 1:6423 MCPHERSON RD STE 6
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6144
Practice Address - Country:US
Practice Address - Phone:956-477-9752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15640101YA0400X
TX85765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)