Individual
JOSE NICOLAS FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC-I
Contact information
Practice address
12301 BLANCO RD APT 1710, SAN ANTONIO, TX 78216-2128
(210) 487-1887
Mailing address
PO BOX 12781, SAN ANTONIO, TX 78212
(210) 487-1887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25541
TX
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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