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Organization
LEGACY VALLEY COUNSELING
Active
Organization
LEGACY VALLEY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R. SMITH (BUSINESS MANAGER)
(512) 752-3106
Entity
Organization
Contact information
Practice address
19206 HUEBNER RD, SUITE 103, SAN ANTONIO, TX 78258-3146
(210) 497-2880
(210) 497-7664
Mailing address
1165 COUNTY ROAD 2699, LOMETA, TX 76853-3913
(512) 752-3106
(512) 752-4428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7430
TX
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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