Provider Demographics
NPI:1770295875
Name:CORTEZ, MONICA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 OLSEN BLVD STE 15
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3022
Mailing Address - Country:US
Mailing Address - Phone:806-318-0955
Mailing Address - Fax:
Practice Address - Street 1:3716 OLSEN BLVD STE 15
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3022
Practice Address - Country:US
Practice Address - Phone:806-318-0955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty