IndividualActive
Daniel Martinez, LCDC INTERN
NPI 1508484460 · Addiction (Substance Use Disorder) Counselor · Windcrest, TX
Provider details
- NPI number
- 1508484460
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDC INTERN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 47170 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5121 Crestway Rd Ste 200b
Windcrest, TX 78239-1975
Phone: (210) 310-3864
Fax: (210) 310-3719
Approximate (ZIP-level) locationGet directions
Mailing address
8611 Datapoint Dr Apt 49
San Antonio, TX 78229-3249
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.