| Doctor Name: | VIRGINIA LONGORIA |
| NPI Number: | 1285099556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | T-0176921 |
| Business Practice Address: | 855 Anthony Dr Anthony, NM - 880219325 |
| Business Phone Number: | 5758825706 |
| Business Fax Number: | 5758822868 |
| Mailing Address: | 385 Calle De Alegra, Bldg. A LAS CRUCES |
| State: | NM |
| Postal Code: | 880053423 |
| Phone Number: | 5755261105 |
| Fax Number: | 5755244266 |
| NPI Enumeration Date: | 12/30/2015 |
| NPI Last Update Date: | 12/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | T-0176921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |