Provider Demographics
NPI:1639668601
Name:QUINONES, KARLA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:QUINONES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 SHETLAND BRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6059
Mailing Address - Country:US
Mailing Address - Phone:262-994-9183
Mailing Address - Fax:
Practice Address - Street 1:12274 BANDERA RD STE 232
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4387
Practice Address - Country:US
Practice Address - Phone:210-838-5514
Practice Address - Fax:210-978-5514
Is Sole Proprietor?:No
Enumeration Date:2018-05-05
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75618101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor