Provider Demographics
NPI:1174775480
Name:TREVINO, CATIA (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:CATIA
Middle Name:
Last Name:TREVINO
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:MS
Other - First Name:CATIA
Other - Middle Name:
Other - Last Name:TREVINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:1152 INDIAN RUN DR
Mailing Address - Street 2:NO. 1016
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-1175
Mailing Address - Country:US
Mailing Address - Phone:469-261-7030
Mailing Address - Fax:
Practice Address - Street 1:1700 ALMA DR
Practice Address - Street 2:STE 305
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:972-849-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional