Provider Demographics
NPI:1992187892
Name:GARCIA, CAROLINE Z (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:Z
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 WATER ST STE 130
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5370
Mailing Address - Country:US
Mailing Address - Phone:830-308-4555
Mailing Address - Fax:830-299-4046
Practice Address - Street 1:819 WATER ST STE 130
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:830-308-4555
Practice Address - Fax:830-299-4046
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional