Individual
CHARLES NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9504 N IH 35, SAN ANTONIO, TX 78233-6613
(210) 650-0422
(210) 650-0169
Mailing address
9504 N IH 35, SAN ANTONIO, TX 78233-6613
(210) 650-0422
(210) 650-0169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
67444
TX
101YP2500X
Professional Counselor
Primary
67444
TX
Other
Enumeration date
06/08/2015
Last updated
04/08/2026
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