Individual
BLANCA ITZEL VELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1950 EPHRIHAM AVE, FORT WORTH, TX 76164-6670
(817) 813-7075
Mailing address
15144 ORPHEUS WAY, SAN ANTONIO, TX 78245-3901
(210) 363-7108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
72060
TX
Other
Enumeration date
05/24/2016
Last updated
10/24/2024
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