Andrew Levi Perez, LPC

Individual provider Active NPI Professional Counselor · Pharr, TX

NPI 1972099679 · NPPES record last updated Jul 5, 2018

Key facts

NPI
1972099679
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
68343 (TX)
Practice address
126 E Newcombe Ave Ste 6a
Pharr, TX 78577-4816
Phone
(956) 844-5728
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
68343TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68343 TX Yes

Addresses

Primary practice location

126 E Newcombe Ave Ste 6a
Pharr, TX 78577-4816

Mailing address

2124 W Western Dr Apt 1
Edinburg, TX 78539-4423
Phone (956) 844-5728

Other providers in Pharr, TX

All providers in Pharr, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.