# PSYCHOTHERAPEUTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497438477
- **Authorized official:** MR. ISAAC CARREON PH.D. (OWNER)
- **Authorized official phone:** (562) 334-5055

## Contact information

- **Practice address:** 19179 BLANCO RD STE, SAN ANTONIO, TX 78258-4009
- **Practice address phone:** (951) 900-3034
- **Practice address fax:** (951) 344-8293
- **Mailing address:** 5838 FORT STANWIX ST, SAN ANTONIO, TX 78233-5113
- **Mailing address phone:** (951) 900-3034
- **Mailing address fax:** (951) 344-8293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 11/09/2023