Provider Demographics
NPI:1538959010
Name:YBARRA, STEPHANIE M (MA, CEPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:YBARRA
Suffix:
Gender:F
Credentials:MA, CEPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:M
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CPCE
Mailing Address - Street 1:1510 BETTY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-2305
Mailing Address - Country:US
Mailing Address - Phone:210-975-0080
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-907-0742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty