Provider Demographics
NPI:1922887561
Name:PINZON, MONICA A (MS; LPC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:A
Last Name:PINZON
Suffix:
Gender:F
Credentials:MS; LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 IRA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-7140
Mailing Address - Country:US
Mailing Address - Phone:210-990-9052
Mailing Address - Fax:
Practice Address - Street 1:21727 W INTERSTATE 10 STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-2108
Practice Address - Country:US
Practice Address - Phone:726-204-3834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional