Provider Demographics
NPI:1104788058
Name:AVALOS, MARIA DOLORES (PHD, LPC-S, NCC)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DOLORES
Last Name:AVALOS
Suffix:
Gender:F
Credentials:PHD, LPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 N EDWARDS ST APT 111
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2703
Mailing Address - Country:US
Mailing Address - Phone:830-556-6125
Mailing Address - Fax:
Practice Address - Street 1:3700 N EDWARDS ST APT 111
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2703
Practice Address - Country:US
Practice Address - Phone:830-556-6125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60402101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor