Individual
PAOLA TERESA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LCDC
Contact information
Practice address
1700 HENDRICKS AVE, LAREDO, TX 78040-4609
(956) 568-7105
Mailing address
1410 SAMBAR LOOP, LAREDO, TX 78045-7147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82177
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
15437
TX
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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