Individual
DAVID BUENTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 AGNES ST STE A18, CORPUS CHRISTI, TX 78401-3202
(361) 882-1413
Mailing address
1715 W JOHNSTON AVE TRLR 94, KINGSVILLE, TX 78363-4988
(361) 355-1148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11362
TX
101YM0800X
Mental Health Counselor
Primary
68348
TX
101YP2500X
Professional Counselor
68348
TX
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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