Provider Demographics
NPI:1710587936
Name:GARCIA, STEPHEN DUNNE (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DUNNE
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4081 DE ZAVALA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2082
Mailing Address - Country:US
Mailing Address - Phone:210-875-6374
Mailing Address - Fax:
Practice Address - Street 1:4081 DE ZAVALA RD STE 201
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78249-2082
Practice Address - Country:US
Practice Address - Phone:210-384-1338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15948101YA0400X
TX82986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)