Individual
ALEXANDRA GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Contact information
Practice address
3308 BROADWAY STE 201, SAN ANTONIO, TX 78209-6549
(210) 239-3972
Mailing address
13833 PADDLEWHEEL DR, CORPUS CHRISTI, TX 78410-5242
(361) 585-3646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83146
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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