Individual
MR. ALEX GUEVARA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1217 GRAND AVE, FORT WORTH, TX 76164-9041
(817) 618-0513
(817) 549-0095
Mailing address
1217 GRAND AVE, FORT WORTH, TX 76164-9041
(817) 618-0513
(817) 549-0095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348806
LPC CONTROL NUMBER
TX
Enumeration date
08/09/2019
Last updated
10/05/2021
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