Healthcare Provider Details

I. General information

NPI: 1467521880
Provider Name (Legal Business Name): CHRISTINA VILLARREAL-DAVIS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8627 CINNAMON CREEK DR STE 701
SAN ANTONIO TX
78240-1482
US

IV. Provider business mailing address

8627 CINNAMON CREEK DR STE 701
SAN ANTONIO TX
78240-1482
US

V. Phone/Fax

Practice location:
  • Phone: 210-680-4747
  • Fax: 210-680-4775
Mailing address:
  • Phone: 210-680-4747
  • Fax: 210-680-4775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19017
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: