Individual
GABRIELLE VILLAFUERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12500 NW MILITARY HWY STE 250, SAN ANTONIO, TX 78231-2000
(210) 302-6920
Mailing address
923 VANCE JACKSON APT 1064, SAN ANTONIO, TX 78201-2750
(210) 445-0444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62855
—
TX
Enumeration date
11/07/2019
Last updated
11/27/2023
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