Provider Demographics
NPI:1366671885
Name:CONTRERAS, IRMA VICTORIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:IRMA
Middle Name:VICTORIA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VICKY
Other - Middle Name:
Other - Last Name:CONTRERAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:9414 ARBOIS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5820
Mailing Address - Country:US
Mailing Address - Phone:210-413-6041
Mailing Address - Fax:210-949-2047
Practice Address - Street 1:9414 ARBOIS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-5820
Practice Address - Country:US
Practice Address - Phone:210-413-6041
Practice Address - Fax:210-949-2047
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX037061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical