MEDICARE: MIA ISABELLE ZAMORA LPC-ASSOCIATE

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
1	101YP2500X	Professional Counselor	98167	TX

General Provider Information

NPI Number	:	1841188869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA ISABELLE ZAMORA LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	611 PATRICIA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-3569
Country	:	US
Telephone Number	:	210-784-6555
Fax Number	:

Provider Business Practice Location Address
First Line	:	13730 PEBBLE OAK DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78231-1816
Country	:	US
Telephone Number	:	210-784-6555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

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Directions to “ MIA ISABELLE ZAMORA LPC-ASSOCIATE” Practice Location

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