Provider Demographics
NPI:1992388326
Name:DE LA ROSA, ANA KAREN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:ANA
Middle Name:KAREN
Last Name:DE LA ROSA
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 1:9434 VISCOUNT BLVD STE 234
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7053
Mailing Address - Country:US
Mailing Address - Phone:915-799-0747
Mailing Address - Fax:
Practice Address - Street 1:9434 VISCOUNT BLVD STE 234
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7053
Practice Address - Country:US
Practice Address - Phone:915-799-0747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27609272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health