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Organization
MINDFUL VIDA COUNSELING PLLC
Active
Organization
MINDFUL VIDA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL PESC (CREDENTIALING SPECIALIST)
(210) 633-4627
Entity
Organization
Contact information
Practice address
3030 NACOGDOCHES RD STE 120, SAN ANTONIO, TX 78217-4502
(737) 747-8349
Mailing address
8315 NORCREST DR, CONVERSE, TX 78109-3278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
10/19/2023
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