Individual provider · Type 1 NPI

Imelda Ramirez Reveron, MA, CLINICIAN

Mental Health Counselor · San Antonio, TX

NPI number 1144893694 Active

Practice location

4335 W Piedras Dr Ste 103
San Antonio, TX 78228-1215

Call (210) 600-4117 Map

Fax (210) 600-3849

Mailing address

21916 Park View Dr
Garden Ridge, TX 78266-2749

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144893694

Imelda Ramirez Reveron, MA, CLINICIAN's National Provider Identifier is 1144893694, issued on Jul 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Jul 22, 2021.