Individual
MS. COURTNEY CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1401 DEZARAE LOT#3, SAN ANTONIO, TX 78253
(210) 439-6342
(210) 437-3106
Mailing address
1401 DEZARAE LOT #3, SAN ANTONIO, TX 78253
(210) 439-6342
(210) 437-3106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10698
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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