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Organization
FELISE DE NOVO, PC
Active
Organization
FELISE DE NOVO, PC
Active
Other names
Families De Novo Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
FELISE DE NOVO MA, LPC, PC (PRESIDENT)
(210) 419-3923
Entity
Organization
Contact information
Practice address
2400 MCCULLOUGH AVE, #12851, SAN ANTONIO, TX 78212-8001
(210) 419-3923
(210) 320-0958
Mailing address
PO BOX 12851, SAN ANTONIO, TX 78212-2814
(210) 419-3923
(210) 320-0958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290504-02
—
TX
01
—
1386723500
INDIVIDUAL NPI
TX
Enumeration date
05/15/2007
Last updated
06/12/2014
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