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General NPI Number Information
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NPI Number | 1598656795
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Entity Type | Organization
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Legal Business Name | CONTRERAS COUNSELING & CHRONIC PAIN SUPPORT
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 5835 CALLAGHAN RD STE 305
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1132
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Country | US
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Telephone | 210-570-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 12127 FAITHCREST
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5498
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Country | US
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Telephone | 210-264-6079
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Fax |
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Authorized Official
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Title or Position | CEO/PSYCHOTHERAPIST
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Name | DR. JACQUELINE CONTRERAS
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Credential | PH.D., LPC
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Telephone | 210-264-6079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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