Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Identity Development Counseling and Family Resource Center

Organization Professional Counselor · NPI 1740458421

Identity Development Counseling and Family Resource Center provides Professional Counselor services in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

21714 Hardy Oak Ste 104
San Antonio, TX 78258 Not confirmed with CMS for 18 years — call before visiting
Phone: (210) 490-9062
Fax: (210) 490-8843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 001123 (TX)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 000552 (TX)

Record details

NPI number1740458421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Koiner — Director Owner · (210) 490-9062
NPI enumeratedFebruary 14, 2008
Last updated in NPPESApril 20, 2008
Mailing address21714 Hardy Oak, Suite 104, San Antonio, TX 78258

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