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9626 Rochelle Rd San Antonio TX 78240-2735 | |
| (210) 864-6658 | |
| (210) 899-1952 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9626 Rochelle Rd, San Antonio, Texas |
| Authorized Official Name and Position | Maria Byndom (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2108646658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5804 Babcock Rd Ste 241 San Antonio TX 78240-2134 Ph: (210) 864-6658 | 9626 Rochelle Rd San Antonio TX 78240-2735 Ph: (210) 864-6658 |
| NPI Number | 1336778778 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336778778 | NPI | - | NPPES |
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