Nicholas Bueno
Nicholas Bueno is an Undefined Non-Physician Type (Specify) in San Antonio, Texas. Qualified in 2024, 2 years ago. Licensed in Texas.
- Years since qualifying
- 2
- Licensed in
- TX
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
5788 Eckhert RdSan Antonio, TX 78240-3900
Phone: (210) 450-6450
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 95110 (TX) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 95110 (TX) |
Record details
| NPI number | 1033952783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 18, 2024 |
| Last updated in NPPES | May 29, 2026 |
| Certification date | May 29, 2026 |
| Mailing address | 115 W Pecan St, Coleman, TX 76834-4145 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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MS. Venezia Melissa Cappellini-Ramirez, MA, LPC, NCC
5788 Eckhert Rd, San Antonio, TX 78240-3900 · (210) 450-9000