| Doctor Name: | MRS. LORENZA TREVINO |
| NPI Number: | 1093740177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 20049 |
| Business Practice Address: | 206 S Avasolo St Rio Grande City, TX - 785824523 |
| Business Phone Number: | 9564870464 |
| Business Fax Number: | 9564889641 |
| Mailing Address: | Po Box 534, RIO GRANDE CITY |
| State: | TX |
| Postal Code: | 785820534 |
| Phone Number: | 9564376867 |
| Fax Number: | 9564889641 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 10/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 20049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |