Provider Demographics
NPI:1770874109
Name:ALVARADO, ANGELA (LPC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:BREUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:519 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-5244
Mailing Address - Country:US
Mailing Address - Phone:817-791-5811
Mailing Address - Fax:
Practice Address - Street 1:6991 PECAN ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4252
Practice Address - Country:US
Practice Address - Phone:214-534-3745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional