Individual
CLAYTON A SPONHALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4115 MEDICAL DR, SAN ANTONIO, TX 78229-5657
(210) 413-3180
Mailing address
25675 GREEN RIVER DR, SAN ANTONIO, TX 78260-6450
(210) 413-3180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11230
TX
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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