Provider Demographics
NPI:1053630970
Name:SALINAS, ELDA I (LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:ELDA
Middle Name:I
Last Name:SALINAS
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 CINNAMON TEAL LOOP
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-4121
Mailing Address - Country:US
Mailing Address - Phone:956-285-4131
Mailing Address - Fax:
Practice Address - Street 1:414 CINNAMON TEAL LOOP
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-4121
Practice Address - Country:US
Practice Address - Phone:956-285-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9168101YA0400X
TX65720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)