institution
Our Lady Of The Lake University
Professional Counselor in San Antonio, Texas
NPI 1588823199

Our Lady Of The Lake University is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Our Lady Of The Lake University practices in San Antonio, TX. The NPI Number for Our Lady Of The Lake University is 1588823199 and holds a License No. 62520 (Texas).

The current practice location address for Our Lady Of The Lake University is 590 N General Mcmullen, San Antonio, TX and can be reached out via phone at 210-434-1054 and via fax at 210-434-1380.

Location: 590 N General Mcmullen, San Antonio, TX, 78228-6205
institution
Provider Profile Details
NPI Number
1588823199
Provider Name
Our Lady Of The Lake University
Credential
Provider Entity Type
Organization
Address
590 N General Mcmullen, San Antonio, TX, 78228-6205
Phone Number
210-434-1054
Fax Number
210-434-1380
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
144674201 05 TX
institution
Provider Business Practice Location Address Details
Address
590 N General Mcmullen
City
State
Zip
78228-6205
Phone Number
210-434-1054
Fax Number
210-434-1380
person
Provider Business Mailing Address Details
Address
590 N General Mcmullen
City
State
Zip
78228-6205
Phone Number
210-434-1054
Fax Number
210-434-1380
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
62520 (Texas)
Definition
Definition to come...
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