Magana, Vicky Laurie

Magana, Vicky Laurie is an sole proprietor health care provider with primary practice located at 3765 S Alameda St Ste 319 , Corpus Christi TX 78411-1672. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Magana, Vicky Laurie can be contacted via phone (361) 232-6409.

Contact Information

Primary practice address
3765 S Alameda St Ste 319 Corpus Christi TX 78411-1672
Phone: (361) 232-6409
Fax: (888) 680-2764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 40421 Texas

Profile Details

NPI number 1861539769
LBN Legal business name Magana, Vicky Laurie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jun 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861539769 NPPES
Texas MEDICAID 166816202
Texas MEDICAID 166816201

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