Individual
MR. HECTOR PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
612 S IRENE ST, SAN ANGELO, TX 76903-6629
(325) 658-6571
(325) 653-0036
Mailing address
PO BOX 5199, SAN ANGELO, TX 76902-5199
(325) 658-6571
(325) 653-0036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
302054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396868966
—
TX
Enumeration date
10/28/2010
Last updated
10/28/2010
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