| Jessica M. Mancillas-flores, Pllc | |
|
11230 Sierra Trl San Antonio TX 78254-2826 | |
| (210) 990-1951 | |
| Not Available |
| Full Name | Jessica M. Mancillas-flores, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 11230 Sierra Trl, San Antonio, Texas |
| Authorized Official Name and Position | Jessica M Mancillas-flores (PRESIDENT) |
| Authorized Official Contact | 2109901951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica M. Mancillas-flores, Pllc Po Box 564 Helotes TX 78023-0564 Ph: (210) 990-1951 | Jessica M. Mancillas-flores, Pllc 11230 Sierra Trl San Antonio TX 78254-2826 Ph: (210) 990-1951 |
| NPI Number | 1366220154 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Medicare PECOS PAC ID | 5496192890 |
|---|---|
| Medicare Enrollment ID | O20240321000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366220154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jessica M Mancillas-flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801548581 PECOS PAC ID: 3173972452 Enrollment ID: I20240321000658 |
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