Provider Demographics
NPI:1831156702
Name:DELGADO, ANA ROSA (LPC CAS)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ROSA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LPC CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58TH ST AND SUPPORT AVE
Mailing Address - Street 2:BLDG 2242 FT HOOD
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76544-4752
Mailing Address - Country:US
Mailing Address - Phone:254-287-5272
Mailing Address - Fax:
Practice Address - Street 1:58TH ST AND SUPPORT AVE
Practice Address - Street 2:BLDG 2242
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76544-4752
Practice Address - Country:US
Practice Address - Phone:254-287-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC4487OtherSUBSTANCE ABUSE CERTIFICA