Healthcare Provider Details

I. General information

NPI: 1487569794
Provider Name (Legal Business Name): CORTNEY MARIE ALFARO LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10602 NATURAL POND RD
COLLEGE STATION TX
77845-2708
US

IV. Provider business mailing address

10602 NATURAL POND RD
COLLEGE STATION TX
77845-2708
US

V. Phone/Fax

Practice location:
  • Phone: 936-727-0896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number92659
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: