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Organization
MARY JANE NATIVIDAD PROFESSIONAL COUNSELING SERVICES, INC.
Active
Organization
MARY JANE NATIVIDAD PROFESSIONAL COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE NATIVIDAD LPC-S (OWNER)
(210) 325-6874
Entity
Organization
Contact information
Practice address
7627 DERBY RUN, SCHERTZ, TX 78154-3936
(210) 325-6874
Mailing address
7627 DERBY RUN, SELMA, TX 78154-3936
(210) 325-6874
(210) 267-9072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178701201
—
TX
Enumeration date
08/07/2013
Last updated
08/21/2024
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