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Organization
FORTITUDE PSYCHOTHERAPY
Active
Organization
FORTITUDE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GAMBUTI LPC, NCC (MANAGER)
(210) 381-6593
Entity
Organization
Contact information
Practice address
3903 WISEMAN BLVD, STE #211, SAN ANTONIO, TX 78251-4401
(210) 381-6593
Mailing address
6130 BRISCOE LEAF, SAN ANTONIO, TX 78253-5524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60992
TX
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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