Provider Demographics
NPI:1093946063
Name:HAEGER, ALINE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALINE
Middle Name:
Last Name:HAEGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALINE
Other - Middle Name:
Other - Last Name:DEFREITAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:10725 PLANO RD
Mailing Address - Street 2:SUITE #400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-5350
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10725 PLANO RD
Practice Address - Street 2:SUITE #400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-5350
Practice Address - Country:US
Practice Address - Phone:469-759-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional