Provider Demographics
NPI:1891187084
Name:MENCHACA GUEDEA, ALEJANDRA (MED, LPC-INTERN)
Entity Type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:
Last Name:MENCHACA GUEDEA
Suffix:
Gender:F
Credentials:MED, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 WYOMING AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5748
Mailing Address - Country:US
Mailing Address - Phone:915-772-2237
Mailing Address - Fax:915-772-2247
Practice Address - Street 1:1801 WYOMING AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5748
Practice Address - Country:US
Practice Address - Phone:915-772-2237
Practice Address - Fax:915-772-2247
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional