Provider Demographics
NPI:1376764712
Name:ARAMBULA, JOE C (LCSW)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:C
Last Name:ARAMBULA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6354 REGENCY WOOD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4809
Mailing Address - Country:US
Mailing Address - Phone:210-641-0082
Mailing Address - Fax:210-923-2616
Practice Address - Street 1:94 BRIGGS ST STE 700
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1272
Practice Address - Country:US
Practice Address - Phone:210-923-0580
Practice Address - Fax:210-923-2616
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0044HEOtherBLUE CROSS BLUE SHIELD
TX0044HEOtherBLUE CROSS BLUE SHIELD