Provider Demographics
NPI:1871310631
Name:URENA, IRANI (LPC- ASSOCIATE)
Entity type:Individual
Prefix:
First Name:IRANI
Middle Name:
Last Name:URENA
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 1:1605 SOMBRAS DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-4269
Mailing Address - Country:US
Mailing Address - Phone:956-483-0116
Mailing Address - Fax:
Practice Address - Street 1:1605 SOMBRAS DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-4269
Practice Address - Country:US
Practice Address - Phone:956-483-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional