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Organization
THIRD SPACE COUNSELING AND CONSULTATION, PLLC
Active
Organization
THIRD SPACE COUNSELING AND CONSULTATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GATLIN LPC-S (PRESIDENT)
(210) 602-9499
Entity
Organization
Contact information
Practice address
1380 PANTHEON WAY SUITE 245, SAN ANTONIO, TX 78232
(210) 602-9499
Mailing address
1727 SALT LICK RD, SAN ANTONIO, TX 78232
(210) 602-9499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17621
TX
Other
Enumeration date
09/03/2017
Last updated
09/03/2017
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