Provider Demographics
NPI:1578570339
Name:APPLEGATE, JOANNE (LPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:APPLEGATE
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 1:5401 HILLIARD RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-8478
Mailing Address - Country:US
Mailing Address - Phone:512-805-9091
Mailing Address - Fax:512-805-8247
Practice Address - Street 1:301 N GUADALUPE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5774
Practice Address - Country:US
Practice Address - Phone:512-557-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14624101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5379LCOtherBCBC PROVIDER NUMBER