Individual
BENITA DELEON-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 KOHLERS XING STE 330, KYLE, TX 78640-2467
(512) 878-7401
(512) 353-0850
Mailing address
PO BOX 1065, KYLE, TX 78640-1065
(512) 878-7401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
53430
TX
1041C0700X
Clinical Social Worker
Primary
53450
TX
Other
Enumeration date
02/06/2013
Last updated
04/17/2023
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