Provider Demographics
NPI:1083905921
Name:WINSBOROUGH, MARIA FATIMA (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:FATIMA
Last Name:WINSBOROUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 HAWKS RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1705
Mailing Address - Country:US
Mailing Address - Phone:210-492-0025
Mailing Address - Fax:210-492-0025
Practice Address - Street 1:1132 W BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1012
Practice Address - Country:US
Practice Address - Phone:210-544-1711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65636101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional