Cecilia Rose Garza
Counselor, Professional in San Diego, TX. Individual provider (NPI-1).
NPI number1124732003
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1124732003
- Entity type
- Individual (NPI-1)
- Name
- Cecilia Rose Garza
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2023
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 87900 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 16126 | TX | |
| 101YM0800X | Counselor, Mental Health | 89700 | TX |
Practice location
205 W King AveSan Diego, TX 78384-2643
Phone 956-735-3768
Mailing address
205 W King AveSan Diego, TX 78384-2643
Phone 956-735-3768
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