Individual
DELISE CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
525 W WISCONSIN RD, EDINBURG, TX 78539-3018
(956) 287-9754
(956) 287-9764
Mailing address
525 W WISCONSIN RD, EDINBURG, TX 78539-3018
(956) 287-9754
(956) 287-9764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17877
TX
101YM0800X
Mental Health Counselor
Primary
17877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164728101
—
TX
Enumeration date
10/31/2006
Last updated
07/10/2012
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