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Individual

ERNESTO J CENTENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., L.P.C.

Contact information

Practice address
929 MANOR DR, 10, SAN ANTONIO, TX 78228-3267
(210) 827-1628
Mailing address
9518 MAJESTIC OAK CIRCLE, SAN ANTONIO, TX 78255
(210) 827-1628
(888) 977-3414

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4849
TX
103TR0400X
Rehabilitation Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4849
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
08/24/2011
Last updated
02/03/2016
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