Provider Demographics
NPI:1730071952
Name:BARRERA, KATHERINE GABRIELA (MA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:GABRIELA
Last Name:BARRERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 E HAWKINS PKWY APT 1306
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-0113
Mailing Address - Country:US
Mailing Address - Phone:903-279-3447
Mailing Address - Fax:
Practice Address - Street 1:1000 N HIGH ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5105
Practice Address - Country:US
Practice Address - Phone:903-386-3824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87227101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health