| Doctor Name: | MS. YVONNE SECORD |
| NPI Number: | 1023009313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCDC |
| License Number: | 8893 |
| Business Practice Address: | 3851 Roger Brooke Dr Mche-qd (creds) Fort Sam Houston, TX - 782344501 |
| Business Phone Number: | 2102954577 |
| Business Fax Number: | 2102954751 |
| Mailing Address: | 3534 Red Oak Ln, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782303834 |
| Phone Number: | 2103480528 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 8893 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |