Individual
HECTOR CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA, MS
Contact information
Practice address
2406 W AVENUE N, SAN ANGELO, TX 76904-5094
(325) 944-9100
(325) 949-8744
Mailing address
223 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 655-7969
(325) 655-7976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00121B
BCBS
TX
Enumeration date
06/12/2006
Last updated
10/23/2007
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