Individual
MARGARITA DIANA POULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CRC, LCDC
Contact information
Practice address
401 E SONTERRA BLVD, SAN ANTONIO, TX 78258-4073
(210) 560-7278
Mailing address
401 E SONTERRA BLVD, SAN ANTONIO, TX 78258-4073
(210) 560-7278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12180
TX
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
05
—
1308785
—
MA
01
—
M18684
BLUE CROSS OF MASS
MA
Enumeration date
07/07/2011
Last updated
01/09/2014
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