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

Identity Development Counseling and Family Resource Center

Organization Professional Counselor · NPI 1740458421

Identity Development Counseling and Family Resource Center is a Professional Counselor 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

Practice location Address checks out

21714 Hardy Oak Ste 104
San Antonio, TX 78258
Phone: (210) 490-9062
Fax: (210) 490-8843
Show map & directions

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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