Organization
BOLDLY GO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE POZOS GARCIA LPC (DIRECTOR)
(210) 834-3534
Entity
Organization
Contact information
Practice address
166 BABCOCK RD, SAN ANTONIO, TX 78201-3806
(210) 834-3534
Mailing address
166 BABCOCK RD, SAN ANTONIO, TX 78201-3806
(210) 834-3534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71100
TX
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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