| Organization Name: | IDENTITY DEVELOPMENT COUNSELING AND FAMILY RESOURCE CENTER |
| NPI Number: | 1740458421 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN HENRY KOINER (DIRECTOR OWNER) |
| Mailing Address: | 21714 Hardy Oak Suite 104 San Antonio |
| State: | TX US |
| Postal Code: | 78258 |
| Phone Number: | 2104909062 |
| Fax Number: | 2104908843 |
| NPI Enumeration Date: | 02/14/2008 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 106H00000X |
| License Number: | 000552 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Marriage & Family Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |