Individual
CAROL REAGER HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 CANYON PKWY APT 12201, SAN ANTONIO, TX 78259-2469
(210) 501-3060
Mailing address
2507 BLUE QUAIL ST, SAN ANTONIO, TX 78232-4017
(210) 501-3060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
85329
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
85329
TX
101YM0800X
Mental Health Counselor
Primary
85329
TX
101YP2500X
Professional Counselor
85329
TX
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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