Provider Demographics
NPI:1417498221
Name:GUARDADO, FRANCISCO A (LPC)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:A
Last Name:GUARDADO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 GAME LAKE DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-6606
Mailing Address - Country:US
Mailing Address - Phone:469-231-3107
Mailing Address - Fax:
Practice Address - Street 1:10034 HEDGEWAY DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-6250
Practice Address - Country:US
Practice Address - Phone:972-502-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73804101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional