Provider Demographics
NPI:1700547601
Name:BARRON, CELINDA ANN (MA, LPC)
Entity type:Individual
Prefix:
First Name:CELINDA
Middle Name:ANN
Last Name:BARRON
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 1:8318 PUENTE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-4594
Mailing Address - Country:US
Mailing Address - Phone:726-214-2252
Mailing Address - Fax:
Practice Address - Street 1:8318 PUENTE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-4594
Practice Address - Country:US
Practice Address - Phone:726-214-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional