Individual
MIRANDA KERI VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCDC
Contact information
Practice address
1174 COUNTY ROAD 441, STOCKDALE, TX 78160-7028
(830) 344-7396
Mailing address
1174 COUNTY ROAD 441, STOCKDALE, TX 78160-7028
(830) 344-7396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16215
TX
106H00000X
Marriage & Family Therapist
Primary
204789
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/21/2020
Last updated
12/11/2024
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