Provider Demographics
NPI:1811540859
Name:GALAN, ALEJANDRO (MED, LPC)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:GALAN
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MILE 1 1/2 E
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-4699
Mailing Address - Country:US
Mailing Address - Phone:956-373-0904
Mailing Address - Fax:
Practice Address - Street 1:325 MILE 1 1/2 E
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4699
Practice Address - Country:US
Practice Address - Phone:956-373-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty