Individual
MR. GARY LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8450 MAPLE RIDGE DR, SAN ANTONIO, TX 78239-4036
(210) 845-5459
Mailing address
8450 MAPLE RIDGE DR, SAN ANTONIO, TX 78239-4036
(210) 845-5459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
91164
TX
101YM0800X
Mental Health Counselor
91164
TX
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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