Individual provider · Type 1 NPI
Johanna Isela Trevino
Mental Health Counselor · Austin, TX
NPI number
1013486133
Active
Practice location
4301 Westbank Dr Ste A250
Austin, TX 78746-4479
Fax (855) 420-6402
Mailing address
106 E Villarreal St
Falfurrias, TX 78355-5041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 75119 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 75119 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1013486133
Johanna Isela Trevino's National Provider Identifier is 1013486133, issued on Nov 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Jan 17, 2024.