Individual
CARLY AMANDA PERALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8331 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3147
(210) 858-6127
Mailing address
500 RIGSBY AVE, SAN ANTONIO, TX 78210-3021
(210) 975-7807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
87991
TX
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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