Provider Demographics
NPI:1942015458
Name:SALAZAR, CARLA DEANNE (LPC-A)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:DEANNE
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:DEANNE
Other - Last Name:VELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1022 FERRYMAN DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-2686
Mailing Address - Country:US
Mailing Address - Phone:512-948-9866
Mailing Address - Fax:
Practice Address - Street 1:1022 FERRYMAN DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-2686
Practice Address - Country:US
Practice Address - Phone:512-948-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95914101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional