Provider Demographics
NPI:1033803192
Name:CESARIO, ANTHONY (LPC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:CESARIO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 NIGHT CHINOOK DR
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4067
Mailing Address - Country:US
Mailing Address - Phone:713-306-1486
Mailing Address - Fax:
Practice Address - Street 1:6306 NIGHT CHINOOK DR
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-4067
Practice Address - Country:US
Practice Address - Phone:713-306-1486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1311834101YS0200X
TX87990101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool