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Organization

DIANA R. GALVAN, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA R. GALVAN MA, LMFT, LPC (GOVERNING PERSON)
(210) 699-0345
Entity
Organization

Contact information

Practice address
11122 WURZBACH RD, SUITE 301, SAN ANTONIO, TX 78230-2573
(210) 699-0345
(210) 699-0377
Mailing address
11122 WURZBACH RD, SUITE 301, SAN ANTONIO, TX 78230-2573
(210) 699-0345
(210) 699-0377

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8572
TX
101YP2500X
Professional Counselor
8572
TX
106H00000X
Marriage & Family Therapist
Primary
001346
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0263113-02
TX
01
128640
MHN
TX
01
2648392
AETNA
TX
01
2979LC
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
01/15/2012
Last updated
01/15/2012
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