Provider Demographics
NPI:1750673182
Name:SALGADO, INDIA WADE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:INDIA
Middle Name:WADE
Last Name:SALGADO
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 1:9550 ELLA LEE LN APT 308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1233
Mailing Address - Country:US
Mailing Address - Phone:713-385-7168
Mailing Address - Fax:
Practice Address - Street 1:9550 ELLA LEE LN APT 308
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1233
Practice Address - Country:US
Practice Address - Phone:713-385-7168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional