Individual
ALEXANDRA MONIKA ASIRVADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
300 N IH 35 E, WAXAHACHIE, TX 75165-5226
(214) 733-4747
(972) 617-7656
Mailing address
8830 MATTIE LN, WAXAHACHIE, TX 75167-7282
(214) 733-4747
(972) 617-7656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2848400-01
—
TX
Enumeration date
10/16/2011
Last updated
12/29/2023
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