is a Professional in San Antonio, Texas. practices all healthcare services and medical treatments related to Professional. The NPI Number for is 1407906332. The last update date is .
's current location address is 3201 Cherry Ridge St, San Antonio, Texas. You can contact this provider via phone number 2105411447. The mailing address for is 3201 Cherry Ridge St, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3201 Cherry Ridge St, San Antonio, Texas |
| Phone Number | 2105411447 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407906332 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3201 Cherry Ridge St |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782304823 |
| Phone Number | 2105411447 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 62652 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 752851092 | TX | 752851092 |
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