Most Relevant Information
Provider Data
| NPI Number: | 1003560483 |
| Provider Name: | KINDRA RENEE MARIETTI LPC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 82277 |
Most Important Dates
| Enumeration Date: | 02/04/2022 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
1150 N LOOP 1604 W STE 108-146
SAN ANTONIO
TX
782484552
Practice Location Phone/Fax
| Phone: | 2105706741 |
| Fax: |
Provider Mailing Location
1150 N LOOP 1604 W STE 108-146
SAN ANTONIO
TX
782484552
Provider Mailing Phone/Fax
| Phone: | 2105706741 |
| Fax: |