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Individual

GLORIA D. DE LA GARZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC, RPT-S

Contact information

Practice address
3534 AVENUE B, SAN ANTONIO, TX 78209-6507
(210) 365-2978
Mailing address
3534 AVENUE B, SAN ANTONIO, TX 78209-6507
(210) 365-2978

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
19061
TX
101YM0800X
Mental Health Counselor
Primary
19061
TX
101YP2500X
Professional Counselor
19061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19061
LPC
TX
01
67260
NCC
TX
01
7023LC
BLUECROSS BLUESHIELD
TX
01
S-942
RPT-S CERTIFICATE #
TX
Enumeration date
01/26/2007
Last updated
09/11/2025
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