ALEXANDRA GAMBOA LPC ASSOCIATE
NPI 1013512706
Counselor - Professional in San Antonio, TX
Active since December 01, 2020
About Alexandra Gamboa Lpc Associate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA GAMBOA LPC ASSOCIATE (NPI 1013512706) is an individual professional provider in San Antonio, Texas, licensed in Texas (83146) and active in the NPI registry since December 2020.
NPPES Registry Identity
NPI1013512706
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALEXANDRA GAMBOACredential: LPC ASSOCIATE
Location Address3308 BROADWAY STE 201San Antonio, TX 78209-6549
Mailing Address13833 Paddlewheel DrCorpus Christi, TX 78410-5242 · (361) 585-3646
Phone(210) 239-3972
Sole ProprietorYes
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1013512706 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 83146
3308 BROADWAY STE 201, San Antonio, TX 78209
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center
3308 BROADWAY STE 201
SAN ANTONIO, TX 78209
SAN ANTONIO, TX 78209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013512706, enumerated as an "individual" on December 01, 2020.
The provider is located at 3308 BROADWAY STE 201 SAN ANTONIO, TX 78209 and the phone number is (210) 239-3972.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
