Provider Demographics
NPI:1578380168
Name:LIMON, LOURDES VANESSA (MS, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:VANESSA
Last Name:LIMON
Suffix:
Gender:F
Credentials:MS, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 GRISSOM RD APT 7304
Mailing Address - Street 2:
Mailing Address - City:LEON VALLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2003
Mailing Address - Country:US
Mailing Address - Phone:956-740-5093
Mailing Address - Fax:
Practice Address - Street 1:6007 GRISSOM RD APT 7304
Practice Address - Street 2:
Practice Address - City:LEON VALLEY
Practice Address - State:TX
Practice Address - Zip Code:78238-2003
Practice Address - Country:US
Practice Address - Phone:956-740-5093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional