Organization · Type 2 NPI

Identity Development Counseling and Family Resource Center

Professional Counselor · San Antonio, TX

NPI number 1740458421 Active

Practice location

21714 Hardy Oak, Suite 104
San Antonio, TX 78258

Fax (210) 490-8843

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X001123 (TX)
Marriage & Family Therapist 106H00000X000552 (TX)

Professional Counselor: Definition to come...

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About NPI 1740458421

Identity Development Counseling and Family Resource Center's National Provider Identifier is 1740458421, issued on Feb 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Apr 20, 2008.