Individual
AMY NICOLE GORNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-0300
Mailing address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
36288
TX
Other
Enumeration date
08/26/2020
Last updated
07/22/2021
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