Provider Demographics
NPI:1548039795
Name:ESQUERRA, KAMIA STINSON (LPC)
Entity type:Individual
Prefix:
First Name:KAMIA
Middle Name:STINSON
Last Name:ESQUERRA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAMIA
Other - Middle Name:JANEE
Other - Last Name:STINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4204 MILDRED AVE
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3751
Mailing Address - Country:US
Mailing Address - Phone:512-540-4035
Mailing Address - Fax:
Practice Address - Street 1:4204 MILDRED AVE
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-3751
Practice Address - Country:US
Practice Address - Phone:254-338-8937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70370101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional