Individual
IVETTE JACQUELINE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
6510 POLARIS DR STE 1, LAREDO, TX 78041-2054
(956) 962-4198
(866) 387-1142
Mailing address
14403 ELKHORN CRST, SAN ANTONIO, TX 78253-7081
(956) 326-0743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85959
TX
Other
Enumeration date
03/14/2023
Last updated
10/04/2024
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