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Mary Jane Natividad, MEDLPC
Counselor in San Antonio, Texas
NPI 1588753925

Mary Jane Natividad is a Counselor based in Selma, TX. Mary Jane Natividad practices in San Antonio, TX and has the professional credentials of MEDLPC. The NPI Number for Mary Jane Natividad is 1588753925 and holds a License No. 19403 (Texas).

The current practice location address for Mary Jane Natividad is 401 E Sonterra Blvd Ste 375, San Antonio, TX and can be reached out via phone at 210-325-6874 and via fax at 210-267-9072. You can also correspond with Mary Jane Natividad through the mailing address at 7627 DERBY RUN, SELMA, TX - 78154-3936 (mailing address contact number: 210-325-6874).

Location: 401 E Sonterra Blvd Ste 375, San Antonio, TX, 78154-3936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588753925
Provider Name
Mary Jane Natividad
Credential
MEDLPC
Provider Entity Type
Individual
Gender
Female
Address
401 E Sonterra Blvd Ste 375, San Antonio, TX, 78154-3936
Phone Number
210-325-6874
Fax Number
210-267-9072
Provider Enumeration Date
10/12/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LBW61 01 TX MEDICAID PIN
178701201 05 TX
institution
Provider Business Practice Location Address Details
Address
401 E Sonterra Blvd Ste 375
City
San Antonio
State
Texas
Zip
78258-4321
Phone Number
210-325-6874
Fax Number
210-267-9072
person
Provider Business Mailing Address Details
Address
401 E Sonterra Blvd Ste 375
City
San Antonio
State
Texas
Zip
78258-4321
Phone Number
210-325-6874
Fax Number
210-267-9072
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
19403 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
19403 (Texas)
Definition
Definition to come...
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