Provider Demographics
NPI:1700416930
Name:VENEGAS, BELEN A (MA, LPC)
Entity Type:Individual
Prefix:
First Name:BELEN
Middle Name:A
Last Name:VENEGAS
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 1:1818 S NEW BRAUNFELS AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-3019
Mailing Address - Country:US
Mailing Address - Phone:210-769-3811
Mailing Address - Fax:210-634-2517
Practice Address - Street 1:1818 S NEW BRAUNFELS AVE STE 305
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-3019
Practice Address - Country:US
Practice Address - Phone:210-769-3811
Practice Address - Fax:210-634-2517
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional