Provider Demographics
NPI:1457590259
Name:JAKOPOVIC-VUKMIROVIC, ZVONKA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:ZVONKA
Middle Name:
Last Name:JAKOPOVIC-VUKMIROVIC
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 EAST AFTON OAKS BLVD.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:210-414-6538
Mailing Address - Fax:210-414-6538
Practice Address - Street 1:620 EAST AFTON OAKS BLVD.
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-414-6538
Practice Address - Fax:210-414-6538
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60904101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional