Provider Demographics
NPI:1417323361
Name:REYNA, ALEXANDRA PALACIOS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:PALACIOS
Last Name:REYNA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5526 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2713
Mailing Address - Country:US
Mailing Address - Phone:195-625-4736
Mailing Address - Fax:
Practice Address - Street 1:5526 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2713
Practice Address - Country:US
Practice Address - Phone:956-383-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74378101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional