Sandra Julie Cantu, M.A., LPC-INTERN
Individual provider Active NPI Mental Health Counselor · Alice, TX
NPI 1295910586 · NPPES record last updated Jan 4, 2008
Key facts
- NPI
- 1295910586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 62693 (TX)
- Practice address
- 63 S Wright St
Alice, TX 78332-4905 - Phone
- (361) 664-8829
- Fax
- (361) 664-5842
- NPI assigned
- Jan 4, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62693 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 62693 | TX | Yes |
Addresses
Primary practice location
63 S Wright St
Alice, TX 78332-4905
Mailing address
63 S Wright St
Alice, TX 78332-4905
Phone (361) 664-8829
Other providers in Alice, TX
- Megan Nicole Calvez
- Amanda Michelle Campos
- Priscilla Carmen Canales
- Bruno Alejandro Cantu
- Christina Galindo Cantu
- Sergio Saul Cantu
- Jose Luis Cardenas
- Carmen Cardona
- Rose Ann Cardona
- Carestat Provider Services
All providers in Alice, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.