Individual
JALIECE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 MEDICAL DR BLDG 3, SAN ANTONIO, TX 78229-5640
(210) 981-4593
Mailing address
5380 MEDICAL DR APT 101, SAN ANTONIO, TX 78240-1949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87059
TX
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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