Doctor Name: | MR. JERALD MATTHEW SAENZ |
NPI Number: | 1003903014 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 62308 |
Business Practice Address: | 1102 Barclay St San Antonio, TX - 782077161 |
Business Phone Number: | 2102337000 |
Business Fax Number: | 2104341704 |
Mailing Address: | 3066 E Commerce St, SAN ANTONIO |
State: | TX |
Postal Code: | 782201013 |
Phone Number: | 2102337000 |
Fax Number: | 2102776387 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 62308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |