Individual
ASHLEY LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCDC
Contact information
Practice address
1401 DEZARAE, LOT 3, SAN ANTONIO, TX 78253
(210) 439-6342
Mailing address
4219 LUCKENBACH RD, SAN ANTONIO, TX 78251-4307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12690
TX
106H00000X
Marriage & Family Therapist
Primary
202329
TX
Other
Enumeration date
06/15/2016
Last updated
08/23/2018
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