Individual
JAZMINE RAENAY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11323 SIMPLY SPOT, SAN ANTONIO, TX 78245-4783
(956) 933-6299
Mailing address
11323 SIMPLY SPOT, SAN ANTONIO, TX 78245-4783
(956) 933-6299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
100278
TX
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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