Provider Demographics
NPI:1134573223
Name:GARCIA DE ALBA, KRISTAL ROSE (LCSW)
Entity type:Individual
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First Name:KRISTAL
Middle Name:ROSE
Last Name:GARCIA DE ALBA
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Gender:F
Credentials:LCSW
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Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:877-800-5722
Mailing Address - Fax:512-869-2940
Practice Address - Street 1:3950 N A W GRIMES BLVD
Practice Address - Street 2:SUITE N102
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3540
Practice Address - Country:US
Practice Address - Phone:877-800-5722
Practice Address - Fax:512-238-9259
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2021-02-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical