Provider Demographics
NPI:1689843773
Name:MAGANA, ZULEMA EDITH (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:ZULEMA
Middle Name:EDITH
Last Name:MAGANA
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 1:1132 W BLANCO RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1012
Mailing Address - Country:US
Mailing Address - Phone:210-725-9296
Mailing Address - Fax:210-492-2630
Practice Address - Street 1:1132 W BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1012
Practice Address - Country:US
Practice Address - Phone:210-725-9296
Practice Address - Fax:210-492-2630
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61555101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor