Provider Demographics
NPI:1851489686
Name:ALVAREZ, ANDREA MENCHACA (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MENCHACA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:MENCHACA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4415 W PIEDRAS DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1216
Mailing Address - Country:US
Mailing Address - Phone:210-733-9929
Mailing Address - Fax:210-733-9916
Practice Address - Street 1:4415 W PIEDRAS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1216
Practice Address - Country:US
Practice Address - Phone:210-733-9929
Practice Address - Fax:210-733-9916
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60779101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional