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Organization
EVIDENCE OF GRACE COUNSELING CENTER
Active
Organization
EVIDENCE OF GRACE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT AGUALLO LPC-S (OWNER)
(210) 436-2339
Entity
Organization
Contact information
Practice address
803 CASTROVILLE RD STE 134, SAN ANTONIO, TX 78237-3148
(210) 436-2339
(210) 436-2329
Mailing address
803 CASTROVILLE RD STE 134, SAN ANTONIO, TX 78237-3148
(210) 436-2339
(210) 436-2329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508277-02
—
TX
Enumeration date
01/31/2007
Last updated
07/13/2026
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