Provider Demographics
NPI:1376728261
Name:MAURER, CECELIA A (LPC)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:A
Last Name:MAURER
Suffix:
Gender:F
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:PO BOX 90231
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-9081
Mailing Address - Country:US
Mailing Address - Phone:210-264-7400
Mailing Address - Fax:210-967-1304
Practice Address - Street 1:1777 NE LOOP 410
Practice Address - Street 2:SUITE 627
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5209
Practice Address - Country:US
Practice Address - Phone:210-264-7400
Practice Address - Fax:210-967-1304
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2014-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health