Provider Demographics
NPI:1417388505
Name:VALDEZ, ALEJANDRINA (LPC INTERN)
Entity Type:Individual
Prefix:MS
First Name:ALEJANDRINA
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5604 SOUTHWEST PKWY APT 3022
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6275
Mailing Address - Country:US
Mailing Address - Phone:512-740-8434
Mailing Address - Fax:
Practice Address - Street 1:1000 WESTBANK DR
Practice Address - Street 2:SUITE6-250
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6598
Practice Address - Country:US
Practice Address - Phone:512-740-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health