Provider Demographics
NPI:1932221892
Name:DELGADO, CORINA M (MA LCSWACP LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CORINA
Middle Name:M
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MA LCSWACP LMFT
Other - Prefix:MS
Other - First Name:CORINA
Other - Middle Name:MORALES
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LMSWACP LMFT
Mailing Address - Street 1:806 WINTER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902
Mailing Address - Country:US
Mailing Address - Phone:915-533-2106
Mailing Address - Fax:
Practice Address - Street 1:5959 GATEWAY WEST
Practice Address - Street 2:SUITE 214
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:915-778-3362
Practice Address - Fax:915-778-9003
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX019861041C0700X
TX0509106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00543UOtherBLUE CROSS BLUE SHIELD