Individual
MR. NATHAN DEAN FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4115 MEDICAL DR, SUITE 105, SAN ANTONIO, TX 78229-5657
(210) 280-0262
(210) 615-1122
Mailing address
4115 MEDICAL DR, SUITE 105, SAN ANTONIO, TX 78229-5657
(210) 280-0262
(210) 615-1122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10742
TX
106H00000X
Marriage & Family Therapist
Primary
201209
TX
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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