Most Relevant Information
Provider Data
| NPI Number: | 1003523481 |
| Provider Name: | RAQUEL BALLESTEROS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 89205 |
Most Important Dates
| Enumeration Date: | 11/03/2022 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
506 PEABODY AVE APT 1
EDINBURG
TX
785393837
Practice Location Phone/Fax
| Phone: | 9565649605 |
| Fax: |
Provider Mailing Location
PO BOX 530015
HARLINGEN
TX
785530015
Provider Mailing Phone/Fax
| Phone: | 9565649605 |
| Fax: |