Provider Demographics
NPI:1447624242
Name:ESCONTRIAS, STEFANIE CRISTINA (LMHC)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:CRISTINA
Last Name:ESCONTRIAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5910
Mailing Address - Country:US
Mailing Address - Phone:830-379-8222
Mailing Address - Fax:
Practice Address - Street 1:1104 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5910
Practice Address - Country:US
Practice Address - Phone:830-379-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC 373101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health