Individual
MISS IVETH PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1524 S IH 35, 210, AUSTIN, TX 78704-8931
(512) 434-8606
Mailing address
4212 MEDICAL DR, 403, SAN ANTONIO, TX 78229-5388
(956) 493-3083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
65648
TX
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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