Individual
CECILIA ROSE GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W KING AVE, SAN DIEGO, TX 78384-2643
(956) 735-3768
Mailing address
205 W KING AVE, SAN DIEGO, TX 78384-2643
(956) 735-3768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16126
TX
101YM0800X
Mental Health Counselor
89700
TX
101YP2500X
Professional Counselor
Primary
87900
TX
Other
Enumeration date
01/05/2023
Last updated
06/26/2024
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