Provider Demographics
NPI:1669808309
Name:CEPEDA, ALIA A (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALIA
Middle Name:A
Last Name:CEPEDA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:ALIA
Other - Middle Name:A
Other - Last Name:HAJEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8423 PAINTED WAGON
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-1867
Mailing Address - Country:US
Mailing Address - Phone:210-601-6381
Mailing Address - Fax:
Practice Address - Street 1:8423 PAINTED WAGON
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-1867
Practice Address - Country:US
Practice Address - Phone:210-601-6381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional