| Easy River Counseling And Wellness Pllc | |
|
4081 De Zavala Rd # 201 Shavano Park TX 78249-2082 | |
| (210) 875-6374 | |
| Not Available |
| Full Name | Easy River Counseling And Wellness Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4081 De Zavala Rd # 201, Shavano Park, Texas |
| Authorized Official Name and Position | Stephen Dunne Garcia (DIRECTOR/COUNSELOR) |
| Authorized Official Contact | 2108756374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easy River Counseling And Wellness Pllc 12518 Betelgeuse San Antonio TX 78245-4855 Ph: (210) 875-6374 | Easy River Counseling And Wellness Pllc 4081 De Zavala Rd # 201 Shavano Park TX 78249-2082 Ph: (210) 875-6374 |
| NPI Number | 1225755689 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225755689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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