Individual
MARIVEL M HINOJOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2872
Mailing address
717 E BEXAR ST, CRYSTAL CITY, TX 78839-2314
(830) 279-9689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770511032
—
TX
Enumeration date
01/10/2019
Last updated
01/10/2019
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