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NPI Code Detail

MEDICARE: STEPHEN L. CERVANTES LPC, LMFT

MEDICARE:   STEPHEN L. CERVANTES  LPC, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2638TX

General Provider Information

NPI Number : 1730247420
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN L. CERVANTES LPC, LMFT
Provider Business Mailing Address
First Line : 1091 HIDDEN OAKS DR
Second Line :
City : BULVERDE
State : TX
Zip : 78163-3050
Country : US
Telephone Number : 210-858-9330
Fax Number :
Provider Business Practice Location Address
First Line : 325 E SONTERRA BLVD STE 230
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4056
Country : US
Telephone Number : 210-490-9062
Fax Number : 707-455-6037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 10/29/2024

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Directions to “ STEPHEN L. CERVANTES LPC, LMFT” Practice Location

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