Provider Demographics
NPI:1881954519
Name:BAEZ-CURCIO, SANDRA MARIA (LPC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARIA
Last Name:BAEZ-CURCIO
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:PO BOX 690130
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78269-0130
Mailing Address - Country:US
Mailing Address - Phone:210-784-0505
Mailing Address - Fax:330-782-4750
Practice Address - Street 1:19230 STONEHUE
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3448
Practice Address - Country:US
Practice Address - Phone:210-784-0505
Practice Address - Fax:330-782-4750
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional