Individual
MRS. LATASHA TEAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LMFT
Contact information
Practice address
16170 JONES MALTSBERGER RD STE 100, SAN ANTONIO, TX 78247-3203
(210) 802-8937
(830) 307-5577
Mailing address
20403 ENCINO LEDGE, SAN ANTONIO, TX 78259-0801
(210) 802-8937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
77681
TX
101YM0800X
Mental Health Counselor
77681
TX
101YP2500X
Professional Counselor
77681
TX
106H00000X
Marriage & Family Therapist
203554
TX
Other
Enumeration date
09/16/2019
Last updated
06/11/2024
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