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CARLOS MANUEL QUIJADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4201 MEDICAL DR STE 330, SAN ANTONIO, TX 78229-5805
(210) 614-4990
Mailing address
2110 BUCKNER PASS, SAN ANTONIO, TX 78253-4776
(210) 350-0100

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80363
TX

Other

Enumeration date
09/09/2018
Last updated
09/09/2018
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