Provider Demographics
NPI:1689831661
Name:GARZA, ZONIA G (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:ZONIA
Middle Name:G
Last Name:GARZA
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 E CALTON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3664
Mailing Address - Country:US
Mailing Address - Phone:210-501-3240
Mailing Address - Fax:956-729-1504
Practice Address - Street 1:709 E CALTON RD STE 104
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3664
Practice Address - Country:US
Practice Address - Phone:210-501-3240
Practice Address - Fax:956-729-1504
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60212101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192582801Medicaid