Individual
MELODY ROSE SHADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6838 SPRING ROSE ST, SAN ANTONIO, TX 78249-2945
(210) 347-7034
Mailing address
6838 SPRING ROSE ST, SAN ANTONIO, TX 78249-2945
(210) 347-7034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18004
TX
Other
Enumeration date
05/21/2007
Last updated
07/09/2007
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