Provider Demographics
NPI:1366789364
Name:CANO, VERONICA DEANDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:DEANDA
Last Name:CANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 N 10TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2709
Mailing Address - Country:US
Mailing Address - Phone:956-668-1488
Mailing Address - Fax:956-668-1498
Practice Address - Street 1:4800 N 10TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2709
Practice Address - Country:US
Practice Address - Phone:956-668-1488
Practice Address - Fax:956-668-1498
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical