# NORTHRUP COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jason Northrup
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770891004
- **Authorized official:** DR. JASON CONRAD NORTHRUP PH.D., LMFT, LPC (OWNER)
- **Authorized official phone:** (806) 438-7003

## Contact information

- **Practice address:** 500 N LOOP 1604 E STE 220, SAN ANTONIO, TX 78232-1238
- **Practice address phone:** (210) 496-0100
- **Mailing address:** 3226 FALCON GROVE DR, SAN ANTONIO, TX 78247-5103
- **Mailing address phone:** (210) 833-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 62058 | TX | — |
| 106H00000X | Marriage & Family Therapist | 200911 | TX | Yes |

## Other

- **Enumeration date:** 09/21/2010
- **Last updated:** 06/17/2013