Organization
MICHELE SAN MARTIN, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L SAN MARTIN LPC (LICENSED PROFESSIONAL COUNSELOR)
(210) 854-6586
Entity
Organization
Contact information
Practice address
2002 NORTHWEST MILITARY HWY, BLDG. A-B, SUITE 13, SAN ANTONIO, TX 78213
(210) 854-6586
Mailing address
13112 HUNTERS LEDGE, SAN ANTONIO, TX 78230-2046
(210) 854-6586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
60473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182408802
—
TX
Enumeration date
11/05/2007
Last updated
04/09/2009
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