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Organization
NORTHRUP THERAPY
Active
Organization
NORTHRUP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NORTHRUP (CO-OWNER, MANAGER)
(210) 833-4011
Entity
Organization
Contact information
Practice address
21015 MARKET RIDGE, STE. 101, SAN ANTONIO, TX 78258-4979
(210) 496-0100
(201) 496-0101
Mailing address
21015 MARKET RIDGE, STE. 101, SAN ANTONIO, TX 78258-4979
(210) 833-4011
(210) 496-0101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
61536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61536
LICENSE PROFESSIONAL COUNSELOR
TX
Enumeration date
09/20/2016
Last updated
08/31/2021
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