Individual
ANGELA LYNN LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
25133 LAKECREST MANOR DR, KATY, TX 77493-3185
(910) 447-9211
Mailing address
16811 POPLAR HILL ST, HOUSTON, TX 77095-4139
(713) 306-6128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
203900
TX
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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