Individual
MS. FELISE DE NOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, PC
Contact information
Practice address
2400 MCCULLOUGH AVE, #12851, SAN ANTONIO, TX 78212-8001
(210) 419-3923
(210) 320-0958
Mailing address
PO BOX 12851, SAN ANTONIO, TX 78212-0851
(210) 419-3923
(210) 320-0958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029050402
—
TX
01
—
1164638011
GROUP NPI
TX
Enumeration date
11/06/2006
Last updated
06/12/2014
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