Individual
MIGUEL ANGEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC / TSC
Contact information
Practice address
3615 CULEBRA ROAD, SAN ANTONIO, TX 78228
(210) 314-6473
(210) 314-8676
Mailing address
6846 FORT BEND, SAN ANTONIO, TX 78223
(210) 314-6473
(210) 314-8676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11104
TX
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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