Individual
SHADIA B KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.LPC
Contact information
Practice address
105 FURR DR, SAN ANTONIO, TX 78201-4412
(830) 734-6268
(210) 568-4259
Mailing address
105 FURR DR, SAN ANTONIO, TX 78201-4412
(830) 734-6268
(210) 568-4259
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190427801
—
TX
Enumeration date
01/14/2008
Last updated
04/20/2015
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