Individual
HERBERT RAY WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
187 E ELMVIEW PL, SAN ANTONIO, TX 78209-3805
(210) 508-5525
Mailing address
187 E ELMVIEW PL, SAN ANTONIO, TX 78209-3805
(210) 508-5525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16413
TX
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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