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NPI Code Detail

MEDICARE: ALFONSO TEJADA LPC

MEDICARE:   ALFONSO  TEJADA  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor80678TX

General Provider Information

NPI Number : 1720762768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFONSO TEJADA LPC
Provider Business Mailing Address
First Line : 10575 WESTPARK DR APT 235
Second Line :
City : HOUSTON
State : TX
Zip : 77042-5248
Country : US
Telephone Number : 281-905-6509
Fax Number :
Provider Business Practice Location Address
First Line : 10575 WESTPARK DR APT 235
Second Line :
City : HOUSTON
State : TX
Zip : 77042-5248
Country : US
Telephone Number : 281-905-6509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 03/20/2025

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Directions to “ ALFONSO TEJADA LPC” Practice Location

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