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General NPI Number Information
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NPI Number | 1669506192
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 2911 S NEW BRAUNFELS AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78210-5220
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Country | US
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Telephone | 210-377-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 2911 S NEW BRAUNFELS AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78210-5220
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Country | US
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Telephone | 210-377-1133
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Fax | 210-377-1230
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | KAREN DILIBERTI
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Credential | LMFT-S
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Telephone | 210-377-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17263
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17480
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18632
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 36151
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 200928
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34298
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License Number State | TX
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