Provider Demographics
NPI:1588766802
Name:KRENZER, EUGENE G JR (LMFTA)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:G
Last Name:KRENZER
Suffix:JR
Gender:M
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 BELMARK CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2503
Mailing Address - Country:US
Mailing Address - Phone:210-479-8969
Mailing Address - Fax:
Practice Address - Street 1:12500 NORTH WEST MILITARY HWY #250
Practice Address - Street 2:JEWISH FAMILY AND CHILDREN'S SERVICES
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231
Practice Address - Country:US
Practice Address - Phone:210-302-6920
Practice Address - Fax:210-302-6952
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200954101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health