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Organization
WELL THERAPY PLLC
Active
Organization
WELL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMOKO IIMURA (OWNER)
(805) 697-4661
Entity
Organization
Contact information
Practice address
1100 NORTHWEST LOOP 410 SUITE 700, SAN ANTONIO, TX 78213
(805) 697-4661
Mailing address
PO BOX 90632, SAN ANTONIO, TX 78209-9088
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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