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Individual

MISS AMANDA LARAINE VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC INTERN

Contact information

Practice address
7400 BLANCO RD, SAN ANTONIO, TX 78216-4360
(210) 446-8255
Mailing address
7400 BLANCO RD STE 250, SAN ANTONIO, TX 78216-4368

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/17/2020
Last updated
03/17/2020
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