MEDICARE: KRISTIE GAIL ALSAGAR 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
1	101YM0800X	Mental Health Counselor	90038	TX
2	101YP2500X	Professional Counselor	90038	TX

General Provider Information

NPI Number	:	1831906007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIE GAIL ALSAGAR LPC

Provider Business Mailing Address
First Line	:	12412 REDWATER
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7598
Country	:	US
Telephone Number	:	210-800-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	12412 REDWATER
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7598
Country	:	US
Telephone Number	:	210-800-2946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	03/26/2026

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