Individual
BERNADETTE VANESSA TREVIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6040 SURETY DR, EL PASO, TX 79905-2043
(915) 781-9900
Mailing address
6040 SURETY DR, EL PASO, TX 79905-2043
(915) 781-9900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382651301
—
TX
Enumeration date
01/25/2011
Last updated
09/27/2018
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