Provider Demographics
NPI:1801471479
Name:ARGUELLES, KASSANDRA KIMBERLYNN (LPC)
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:KIMBERLYNN
Last Name:ARGUELLES
Suffix:
Gender:F
Credentials: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 531244
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-1244
Mailing Address - Country:US
Mailing Address - Phone:956-622-0154
Mailing Address - Fax:
Practice Address - Street 1:2402 N ED CAREY DR APT 21
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8262
Practice Address - Country:US
Practice Address - Phone:956-622-0154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional