Organization
BLACKBIRD COUNSELING & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY FRIAS LPC (OWNER)
(210) 396-1944
Entity
Organization
Contact information
Practice address
16170 JONES MALTSBERGER RD, 110, SAN ANTONIO, TX 78247-3202
(210) 396-1944
Mailing address
16170 JONES MALTSBERGER RD, 110, SAN ANTONIO, TX 78247-3202
(210) 396-1944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68801
TX
Other
Enumeration date
02/25/2015
Last updated
09/27/2016
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