Provider Demographics
NPI:1588849863
Name:SAENZ, GRETCHEN A (MS,LPC)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:A
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 S WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4905
Mailing Address - Country:US
Mailing Address - Phone:361-664-8829
Mailing Address - Fax:361-664-5842
Practice Address - Street 1:63 S WRIGHT ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4905
Practice Address - Country:US
Practice Address - Phone:361-664-8829
Practice Address - Fax:361-664-5842
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health