MRS. GLORIA D. FONDREN


Address: 8500 Village Dr, Suite 300, San Antonio, TX 78217-5510
Phone: 2108215311

MRS. GLORIA D. FONDREN (NPI# 1881701019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881701019
Entity Type Individual
Full Name MRS. GLORIA D. FONDREN
Credential M.A., LPC, LSOTP
Practice Address 8500 Village Dr
Suite 300
San Antonio
TX 78217-5510
Mailing Address Po Box 689
Leakey
TX 78873-0689
Practice Telephone 2108215311
Practice Fax Number 2108261771
Mailing Telephone 8302326590
Mailing Fax Number 8302326522
Enumeration Date 2006-08-24
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
16060 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS PROVIDER ID 85278L 01

Office Location

Street Address 8500 VILLAGE DR
SUITE 300
City SAN ANTONIO
State TX
Zip Code 78217-5510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477588788 Ljc Enterprises Podiatrist 8500 Village Dr, Suite 201, San Antonio, TX 78217-5515 2006-07-12
1215260344 Ursus Mobile Medical Pllc Podiatrist 8500 Village Dr, Suite 201, San Antonio, TX 78217-5515 2009-09-08
1184659492 Alamo Area Mobile Podiatry Services Podiatrist 8500 Village Dr, Suite 201, San Antonio, TX 78217-5515 2006-07-12

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1730787961 Alexander W Casserly Counselor 3442 Wellsprings Dr, San Antonio, TX 78230-2512 2020-10-09
1578170270 Magno Solutions LLC Counselor 10422 Castello Cyn, San Antonio, TX 78254-4644 2020-09-26
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1316551039 Mateo David Ayala, Texas Counseling Counselor 9818 Village Briar, San Antonio, TX 78250-5718 2020-09-01
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Competitor

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City SAN ANTONIO
Zip Code 78217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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