Organization
VIDA COUNSELING INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN LEON LPC (OWNER)
(210) 445-0914
Entity
Organization
Contact information
Practice address
4962 ANCIENT ELM, SAN ANTONIO, TX 78247-5668
(210) 445-0914
Mailing address
4962 ANCIENT ELM, SAN ANTONIO, TX 78247-5668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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