Provider Demographics
NPI:1932582442
Name:ESPARZA, CHANDA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:CHANDA
Middle Name:
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 SW MILITARY DR STE V
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1686
Mailing Address - Country:US
Mailing Address - Phone:210-723-7227
Mailing Address - Fax:210-595-1155
Practice Address - Street 1:660 SW MILITARY DR STE V
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1686
Practice Address - Country:US
Practice Address - Phone:210-723-7227
Practice Address - Fax:210-595-1155
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71499101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional