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Boldly Go, Inc.
Professional Counselor in San Antonio, Texas
NPI 1417435132

Boldly Go, Inc. is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Boldly Go, Inc. practices in San Antonio, TX. The NPI Number for Boldly Go, Inc. is 1417435132 and holds a License No. 71100 (Texas).

The current practice location address for Boldly Go, Inc. is 166 Babcock Rd, San Antonio, TX and can be reached out via phone at 210-834-3534.

Location: 166 Babcock Rd, San Antonio, TX, 78201-3806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417435132
Provider Name
Boldly Go, Inc.
Credential
Provider Entity Type
Organization
Address
166 Babcock Rd, San Antonio, TX, 78201-3806
Phone Number
210-834-3534
Fax Number
Provider Enumeration Date
08/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
166 Babcock Rd
City
San Antonio
State
Texas
Zip
78201-3806
Phone Number
210-834-3534
Fax Number
person
Provider Business Mailing Address Details
Address
166 Babcock Rd
City
San Antonio
State
Texas
Zip
78201-3806
Phone Number
210-834-3534
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
71100 (Texas)
Definition
Definition to come...
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