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Organization
DEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC
Active
Organization
DEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENNA DOMINIQUE FISHER LCSW-S (LCSW/OWNER)
(210) 643-4058
Entity
Organization
Contact information
Practice address
909 NE LOOP 410 STE 634, SAN ANTONIO, TX 78209-1309
(210) 643-4058
(866) 544-0326
Mailing address
5600 BABCOCK RD APT 7304, SAN ANTONIO, TX 78240-1890
(210) 643-4058
(866) 544-0326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/03/2020
Last updated
07/27/2026
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