Individual
CECILIA BURGOS-GAVALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
468 SAN BLAS, EL PASO, TX 79912
(915) 525-9246
(877) 587-9452
Mailing address
468 SAN BLAS, EL PASO, TX 79912
(915) 525-9246
(877) 587-9452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027910101
—
TX
01
—
4069LC
BCBS
TX
Enumeration date
09/11/2006
Last updated
12/22/2023
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