Individual provider · Type 1 NPI

Nickolas Scott Raczek, LPC

Professional Counselor · San Antonio, TX

NPI number 1053917377 Active

Practice location

6812 Bandera Rd Ste 102
San Antonio, TX 78238-1378

Fax (210) 261-1794

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X82015 (TX)

Professional Counselor: Definition to come...

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About NPI 1053917377

Nickolas Scott Raczek, LPC's National Provider Identifier is 1053917377, issued on Dec 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Nov 15, 2023.