Basic Information
| Provider Information | |||||||||
| NPI: | 1841535887 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUAJARDO | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW, LCDC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5701 S MO PAC EXPY | ||||||||
| Address2: | APT. #614 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787491464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102792698 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1430 COLLIER ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787042911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124724357 | ||||||||
| FaxNumber: | 5127031394 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2012 | ||||||||
| LastUpdateDate: | 06/09/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 55279 | TX | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.