Provider Demographics
NPI:1760032411
Name:GARZA, MARCOS L (LPC)
Entity type:Individual
Prefix:
First Name:MARCOS
Middle Name:L
Last Name:GARZA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 LAKE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7736
Mailing Address - Country:US
Mailing Address - Phone:956-222-7029
Mailing Address - Fax:956-386-0006
Practice Address - Street 1:709 LAKE VIEW DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-7736
Practice Address - Country:US
Practice Address - Phone:956-222-7029
Practice Address - Fax:956-386-0006
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78021101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX78021OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS