Provider Demographics
NPI:1144971540
Name:VENGOECHEA, KATERINA (LMFT-A)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:VENGOECHEA
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 JERRY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-3949
Mailing Address - Country:US
Mailing Address - Phone:832-605-0045
Mailing Address - Fax:
Practice Address - Street 1:810 W 21ST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3514
Practice Address - Country:US
Practice Address - Phone:832-605-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health