Organization
BUENA VIDA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRINIDAD BOTELLO JR. (OWNER)
(210) 598-0843
Entity
Organization
Contact information
Practice address
10435 OVERLAND CRK, SAN ANTONIO, TX 78245-2331
(210) 598-0843
(210) 852-2312
Mailing address
10435 OVERLAND CRK, SAN ANTONIO, TX 78245-2331
(210) 598-0843
(210) 852-2312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19232
TX
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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