Individual
CHANELL NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4115 MEDICAL DR, SAN ANTONIO, TX 78229-5657
(210) 667-8704
Mailing address
1409 ARCADIAN LILY, SAN ANTONIO, TX 78245-4876
(210) 667-8704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15940
TX
101YM0800X
Mental Health Counselor
Primary
88166
TX
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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