Healthcare Provider Details

I. General information

NPI: 1093471369
Provider Name (Legal Business Name): ABELINA ZUNIGA LPC, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 11/11/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9302 VALLEY DALE ST
SAN ANTONIO TX
78250-3954
US

IV. Provider business mailing address

9302 VALLEY DALE ST
SAN ANTONIO TX
78250-3954
US

V. Phone/Fax

Practice location:
  • Phone: 210-946-4841
  • Fax:
Mailing address:
  • Phone: 210-946-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15271
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00113639
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number82366
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: