Provider Demographics
NPI:1841660255
Name:CARDENAS, ESMERALDA G (MA, LPC)
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:G
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681688
Mailing Address - Street 2:
Mailing Address - City:LEON VALLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78268-1688
Mailing Address - Country:US
Mailing Address - Phone:210-429-8068
Mailing Address - Fax:210-634-2312
Practice Address - Street 1:12274 BANDERA RD
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4385
Practice Address - Country:US
Practice Address - Phone:210-429-8068
Practice Address - Fax:210-634-2312
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71039101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor