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Organization
ELEVEN ELEVEN COUNSELING AND WELLNESS
Active
Organization
ELEVEN ELEVEN COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA JEAN LEDEZMA LPC (OWNER)
(210) 326-7202
Entity
Organization
Contact information
Practice address
4081 DE ZAVALA RD STE 201, SHAVANO PARK, TX 78249-2082
(210) 326-7202
Mailing address
10011 STAGECOACH BAY, SAN ANTONIO, TX 78254-5904
(210) 326-7202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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