Provider Demographics
NPI:1831467794
Name:VELA-GUDE, LUTI (LPC)
Entity Type:Individual
Prefix:
First Name:LUTI
Middle Name:
Last Name:VELA-GUDE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 N COMAL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4214
Mailing Address - Country:US
Mailing Address - Phone:210-404-9399
Mailing Address - Fax:
Practice Address - Street 1:1731 N COMAL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4214
Practice Address - Country:US
Practice Address - Phone:210-404-9399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional