Provider Demographics
NPI:1508016841
Name:NAVARRETE-AGUILAR, ALEJANDRO LUIS (PSYD, LPC)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:LUIS
Last Name:NAVARRETE-AGUILAR
Suffix:
Gender:M
Credentials:PSYD, LPC
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Other - First Name:
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Mailing Address - Street 1:5855 JIMMY CARTER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2984
Mailing Address - Country:US
Mailing Address - Phone:404-630-1361
Mailing Address - Fax:770-441-9177
Practice Address - Street 1:5855 JIMMY CARTER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2984
Practice Address - Country:US
Practice Address - Phone:404-630-1361
Practice Address - Fax:770-979-0638
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA005382101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional