Individual
KEVIN P ACEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18131
TX
101YM0800X
Mental Health Counselor
18131
TX
101YP2500X
Professional Counselor
18131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194134601
—
TX
01
—
84265L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/07/2008
Last updated
10/01/2015
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