Provider Demographics
NPI:1952724502
Name:ALEMAN, AMANDA GARCIA (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:GARCIA
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 BOB BULLOCK LOOP APT 2108
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-4282
Mailing Address - Country:US
Mailing Address - Phone:956-744-4069
Mailing Address - Fax:
Practice Address - Street 1:302 BOB BULLOCK LOOP APT 2108
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4282
Practice Address - Country:US
Practice Address - Phone:956-744-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12140101YA0400X
TX68001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)