Provider Demographics
NPI:1386298016
Name:ALDRICH, DALILA (LPC)
Entity type:Individual
Prefix:
First Name:DALILA
Middle Name:
Last Name:ALDRICH
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15135 FAIRCREST DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-7178
Mailing Address - Country:US
Mailing Address - Phone:281-901-0612
Mailing Address - Fax:979-694-7337
Practice Address - Street 1:3201 UNIVERSITY DR E STE 325
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3478
Practice Address - Country:US
Practice Address - Phone:281-901-0612
Practice Address - Fax:979-217-6898
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional