| Northrup Therapy | |
|
21015 Market Ridge Ste. 101 San Antonio TX 78258-4979 | |
| (210) 496-0100 | |
| (201) 496-0101 |
| Full Name | Northrup Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21015 Market Ridge, San Antonio, Texas |
| Authorized Official Name and Position | Jason Northrup (CO-OWNER, MANAGER) |
| Authorized Official Contact | 2108334011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northrup Therapy 21015 Market Ridge Ste. 101 San Antonio TX 78258-4979 Ph: (210) 833-4011 | Northrup Therapy 21015 Market Ridge Ste. 101 San Antonio TX 78258-4979 Ph: (210) 496-0100 |
| NPI Number | 1700334604 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700334604 | NPI | - | NPPES |
| 61536 | Other | TX | LICENSE PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 61536 (Texas) | Secondary |
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