Provider Demographics
NPI:1508502949
Name:DELGADO GARCIA, ALEXANDRA (BA, MS,LPCA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:DELGADO GARCIA
Suffix:
Gender:F
Credentials:BA, MS,LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 PLATO PATH
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-5248
Mailing Address - Country:US
Mailing Address - Phone:956-774-7890
Mailing Address - Fax:
Practice Address - Street 1:410 N LAMPASAS ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5231
Practice Address - Country:US
Practice Address - Phone:915-820-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health