Individual
MR. JEREMY BARRERA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,LCDC
Contact information
Practice address
2882 HOLLY RD, CORPUS CHRISTI, TX 78415-4106
(361) 814-2001
Mailing address
5901 WEBER RD, CORPUS CHRISTI, TX 78413-4700
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
71891
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
14033
TX
101YM0800X
Mental Health Counselor
71891
TX
Other
Enumeration date
02/09/2021
Last updated
05/03/2022
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