Individual
LATERIOUS VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 MCCULLY ST, FORT HOOD, TX 76544-1318
(510) 368-6135
Mailing address
5875 MCCULLY ST, FORT HOOD, TX 76544-1318
(510) 368-6135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
172V00000X
Community Health Worker
—
CA
174200000X
Meals Provider
—
CA
175T00000X
Peer Specialist
—
CA
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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