| Illuminating Possibility | |
|
4243 E Piedras Dr Ste 236 San Antonio TX 78228-1421 | |
| (210) 201-4187 | |
| (210) 314-2166 |
| Full Name | Illuminating Possibility |
|---|---|
| Speciality | Psychologist |
| Location | 4243 E Piedras Dr Ste 236, San Antonio, Texas |
| Authorized Official Name and Position | Jacqueline Coppock (PSY.D.) |
| Authorized Official Contact | 2102014187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Possibility 2115 Calate Rdg San Antonio TX 78253-4116 Ph: () - | Illuminating Possibility 4243 E Piedras Dr Ste 236 San Antonio TX 78228-1421 Ph: (210) 201-4187 |
| NPI Number | 1598597601 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598597601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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