Provider Demographics
NPI:1407481419
Name:DELGADILLO, ESMERALDA (LPC, CCSAS)
Entity Type:Individual
Prefix:MRS
First Name:ESMERALDA
Middle Name:
Last Name:DELGADILLO
Suffix:
Gender:F
Credentials:LPC, CCSAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19414 CLIMBING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2915
Mailing Address - Country:US
Mailing Address - Phone:346-279-9285
Mailing Address - Fax:
Practice Address - Street 1:700 ROCKMEAD DR STE 246
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2106
Practice Address - Country:US
Practice Address - Phone:281-913-5438
Practice Address - Fax:281-359-3544
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP1600X
TX78269101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral